Francine Shapiro Library - EMDR Bibliography Links

 

 

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1. 小川 栄一 , 和田 健 , 日域 広昭 , 武井 史朗 , 矢野 智宣 , 橋元 佑美 , 佐々木 高伸 , 志和 資朗 [Eiichi Ogawa, Ken Wada, Hiroaki Jitsuiki, Shiro Takei, Tomonobu Yano, Yumi Hashimoto, Takanobu Sasaki, and Shiro Shiwa] (2007年12月). 12. EMDR(眼球運動による脱感作と再処理法)の実施が心理生理反応に及ぼす影響(第30回日本心身医学会中国・四国地方会演題抄録) [12. EMDR (treatment of eye movement desensitization and reprocessing) effects on the physiological response (The 30th Chugoku-Shikoku Regional Meeting of the Japanese Society of Psychosomatic Medicine, Meeting abstract]. 心身医学：日本誌、47（12）、1054 [Japanese Journal of Psychosomatic Medicine, 47(12), 1054].

Language: Japanese

Format: Journal

Keywords: Physiological Responses  

Accuracy Verified: Yes

2. 小川 栄一 , 橋元 佑美 , 和田 健 , 日域 広昭 , 波田 紫 , 佐々木 高伸 , 志和 資朗 [Eiichi Ogawa, Hiromi Hashimoto, Ken Wada, Hiroaki Hiiki, Murasaki Hada, Takanobu Sasaki, and Shiro Shiwa]. (2009年9月). 22.EMDR(眼球運動による脱感作と再処理法)の実施が心理生理反応に及ぼす影響(第28回 日本心身医学会中国・四国地方会演題抄録,地方会抄録,学会報告) [22. EMDR (treatment of eye movement desensitization and re-) effect of the implementation of psychological physiological responses (Abstract Title: The 28th Chugoku-Shikoku Regional Meeting of the Japanese Society of Psychosomatic Medicine)]. 心身医学、46の日本誌（9）、836〜837 [Japanese Journal of Psychosomatic Medicine, 46(9), 836-837].

Language: Japanese

Format: Journal

Keywords: Physiological Responses  

Accuracy Verified: Yes

3. Beccari, A. (2008). Abuso sessuale sui minori: Il sostegno alle giovani vittime [On child sexual abuse: Support for young victims]. Universita Degli Studi di Parma, Italia.

Language: Italian

Format: Dissertation/Thesis

Abstract: Il filo conduttore di questo report sarà il trauma. La prima parte sarà incentrata sulla definizione di trauma, sulle risposte adattive e su quelle patologiche di fronte ad un evento negativo e sulle variabili individuali e soggettive che determinano nell’individuo un vissuto traumatico. Quest’ultimo aspetto, infatti, sappiamo essere fondamentale per capire la differenza che intercorre tra le diverse reazioni (emotiva, cognitiva e comportamentale) delle persone che si trovano ad essere esposte anche al medesimo evento disturbante. La seconda sezione sarà invece dedicata al trauma dei bambini e alle diverse modalità di condurre un assessment adeguato. La terza parte si concentrerà, nello specifico, sul trauma da abuso sessuale: ne prenderà in considerazione la definizione, le conseguenze a breve e medio-lungo termine nonchè le possibilità di sostegno alle giovani vittime di abuso sessuale intra ed extra familiare. Inoltre verrà trattata una tecnica piuttosto recente dimostratasi efficace nel trattamento del Disturbo Post-traumatico da Stress negli adulti come nei bambini: l’EMDR (eye movement desensitization and reprocessing).

The theme of this report is trauma. The first part will focus on the definition of trauma, and those on adaptive responses pathological in the face of a negative event and the individual variables and subjective determine in the individual a traumatic experience. This latter aspect, in fact, we know be crucial to understand the difference between the different reactions (emotional, cognitive and behavioral) of persons who are to be presented on the same event disturbing. The second section will be devoted to the trauma of children and the different modes of conduct a proper assessment. The third part will focus specifically on the trauma of sexual abuse: it will take consider the definitions, the short-and medium-long term as well as the possibility of support for young victims of sexual abuse within and outside the family. also will be treated fairly new technique proved effective in treating the disorder Post-traumatic Stress in adults as in children: EMDR (eye movement desensitization and reprocessing).

Keywords: Children  Sexual Abuse  

Accuracy Verified: Yes

4. Crow, C., & Sause, E. (2007, June). Accessing preverbal trauma for effective adult EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Recent research (Moberg, 2003, The Oxytocin Factor) indicates the potential of early pre-verbal trauma to set up biochemical and neurological responses which activate certain triggers. Since the touchstone event is pre-verbal, it is difficult to identify, but crucial in the resolution of later traumas resistant to full EMDR processing (Those who remain stuck at a greater than 0 SUDs). The antedotal experience is that this model can activate the material more fully and facilitate more thorough competion of phases 4-8. "Once upon a Time" contains every element of the EMDR Protocol in the prescribed order, Incident, Image, NC, PC, VOC, Emotion, SUD, Body sensation. This experimental model is not a substitute for standard EMDR. It facilitates access tohese preverbal traumas and the resultant cognitions which may have formed around them. It allows for a return to the standard EMDR protocol after this early material has been effectively targeted and reprocessed. "Once Upon a Time" model allows for fuller connection with early material. History is collected through antedotal information from third party informants and family photographs and is used to create a metaphor; this technique can access the multiple modalities of pre-verbal experience previously intellectualized. Phase three begins with a short continuation of Phase 1 using an interview format to review and briefly discuss the various elements of the troubling material. A "sentence completion" format is used to obtain the TICES elements. Those spontaneous answers form the script for a "Once Upon a Time" (Crow, 2004, EMDRIA Montreal, Canada), a deviation from Phase 4 of the standard protocol. Pertinent examples of the application of this model will be discussed and demonstrated with video taped excerpts of actual clients. Video taped client reports of the long term effect of the shifts resulting from the "Once Upon a Time" experience will provide validation that this technique enables retur to the standard EMDR protocol and full processing of previously incompletely processed material. Participants will create their own "Once Upon a Time" script from a video example of client history as an experiential introduction to the intricacies of this model. Evidence indicates that this technique is effective on a "consultant" basis, where the "Once Upon a Time" can be conducted by a separate therapist skilled in the technique, and returned to their regular EMDR therapist to complete this treatment. Currently a study is underway utilizing a pre/post text design (N=10) and statistical analysis of the results to measure the quantitative change within the client.

Keywords: Model  Poster  Preverbal Trauma  Theory  

Accuracy Verified: Yes

5. Lee, C. W., Taylor, G., & Drummond, P. D. (2006, March-April). The active ingredient in EMDR: Is it traditional exposure or dual focus of attention?. Clinical Psychology and Psychotherapy, 13(2), 97-107. doi:10.1002/cpp.479.

Language: English

Format: Journal

Abstract:
Very little is known about the mechanisms that underlie the therapeutic effectiveness of eye movement desensitization and reprocessing (EMDR). This study tested whether the content of participants' responses during EMDR is similar to that thought to be effective for traditional exposure treatments (reliving), or is more consistent with distancing, which would be expected given Shapiro's proposal of dual process of attention. The responses made by 44 participants with PTSD were examined during their first EMDR treatment session. An independent rater coded these responses according to whether they were consistent with reliving, distancing, or focusing on material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement on a measure of PTSD symptoms occurred when the participant processed the trauma in a more detached manner. Cross-lagged panel correlations suggest that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that covaried with improvement. [Author Abstract]

Keywords: Adults  Attention  Australians  Cognitive Processes  Empirical Study  Mechanism of Action  Posttraumatic Stress Disorder  PSTD  Quantitative Study  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

6. Barreda-Hanson, C. (2012, Septiember). Adaptación del EMDR y terapia breve centrada en el cliente para cambiar percepciones negativas y traumaticas [EMDR adaption of brief client-centered therapy to change negative and traumatic perceptions]. Presentación en la 70 Conferencia Anual del International Council of Psychologist(ICP), Sevilla, España.

Language: Spanish

Format: Conference

Abstract:
El estrés subsiguiente después de un traumatismo, representa un trastorno disfuncional – tanto interno como externo – que se manifiesta en alteraciones en el reconocimiento cognitivo y en los comportamientos, llevando además asociados síntomas somáticos, afloramiento de problemas inconscientes y ansiedades. Pues una de las características del estrés post-traumático, es precisamente la pérdida de equilibrio entre el mundo interno y externo de quien lo sufre. Por eso, ante la complejidad de las respuestas post-traumáticas, éstas se pueden catalogar en gran medida dentro de las perturbaciones psicopatológicas. El estrés psicológico surge por una situación estresante “real”, externa, tangible y la reacción ante esta difícil experiencia, evoca un conjunto bastante universal y coherente de síntomas y respuestas que provocan reacciones primitivas relacionadas con temores inconscientes ante las amenazas a la vida, que hacen aflorar incipientemente fantasías e impulsos abrumadores. Los resultados son los pensamientos disfuncionales que conducen a las respuestas y a los comportamientos desadaptativos. Objetivos: el taller está diseñado para proporcionar a estudiantes y profesionales de la Psicología – que trabajan o desean trabajar en esta área del trauma y el cambio de comportamientos -, la habilidad para utilizar eficaz y rápidamente intervenciones breves, que puedan poner en practicar incluso en casa. En el taller se estudiará la forma inicial de evaluar, tanto al trauma como a la clientela. Se trabajará la historia del trauma y se profundizará en sus consecuencias y en cómo diseñar las intervenciones breves para hacerles frente. También se centrará en averiguar qué cambios quieren los y las clientes a través de relatos y visualizaciones, utilizando una adaptación de las terapias EMDR y la Solución Enfocada tanto a crear el cambio deseado, como a mantenerlo. En consecuencia el taller es de particular interés para quienes trabajan con personas que han sufrido cualquier tipo de trauma, o quienes perciben acontecimientos de la vida, experiencias, etc. que les afectan de forma negativa en su día a día. También es útil para las personas que sufren de TOC, sobre todo trastornos del pensamiento. Los aspectos más útiles de las dos técnicas que se han adaptado junto con otras innovaciones de la autora, guardan relación con la creación de un ambiente seguro, no-traumático, que actúa rápidamente y que además, se puede realizar en casa sin peligro de consecuencias negativas. Objetivos específicos: 1. Ser capaz de describir e identificar las manifestaciones del trauma. 2. Aprender y describir dos técnicas terapéuticas breves en el tratamiento del trauma 3. Definir una técnica breve terapéutica que puede ser utilizada para fomentar el cambio 4. Destacar el rol del o de la terapeuta durante el tratamiento de los traumatismos 5. Ser capaz de describir, diseñar y establecer metas de la terapia y promover cambios mediante el uso de técnicas de terapia breve. Métodos: la Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR), es un método complejo e integrador de la psicoterapia individual, mediante el que se guía al cliente utilizando un procedimiento para acceder a sus experiencias y resolver sus problemas conductuales y emocionales. El EMDR utiliza elementos de múltiples orientaciones psicoterapéuticas tanto psicodinámicas, como cognitivo- conductuales, enfoques centrados en el cliente, gestalt y bioenergéticos. La premisa subyacente de EMDR es que las experiencias de pánico y ansiedad se procesan de forma diferente por el cerebro que las experiencias habituales. La teoría subyacente es que durante el estrés, la memoria grava en una parte del cerebro responsable de las emociones de modulación (la amígdala) y se cierra temporalmente otra parte del cerebro (el hipocampo), responsable de procesamiento de la memoria normal. La experiencia traumática queda atrapada en el exterior y potencialmente no forma parte del procesamiento normal del cerebro, y el EMDR permite a la persona acceder a la experiencia y transformarla en memoria declarativa en el hipocampo. Con el método EMDR, el hipocampo se puede abrir a las emociones evocadas por la experiencia para que el/la cliente pueda soportarlas mientras se realiza el tratamiento. La distracción y la atención a la estimulación bilateral, desempeñan un importante papel que ayuda al cliente a experimentar las emociones como tolerables. Aunque cómo la distracción bilateral en concreto, facilita el procesamiento de las experiencias dolorosas, sea algo que todavía no se termina de entender. Por otra parte, las Intervenciones Breves de Terapias enfocadas al Cliente se centran en las excepciones del problema, pensando que a continuación se desarrollará un cambio natural en el comportamiento. Es una especie de visión orientada no en las formas tradicionales, sino hacia el futuro, sin profundizar demasiado en la “patología” sino más bien centrándose en lo que el sistema puede hacer para adaptarse a ella, puesto que ambos pueden decidir si esa “patología” es un problema o no lo es. Las Intervenciones de Terapia Breve enfocadas al Cliente se utilizan para resolver una variedad de problemas de comportamientos y actitudes, mediante el uso de los propios recursos de los y las clientes y las observaciones de las estrategias que utilizan para alcanzar los resultados deseados, en sus situaciones vitales habituales. Se trata de una buena técnica para establecer y mantener un contexto de cambio en el que los pequeños, pero útiles cambios, se anticipan y se buscan. En definitiva, la combinación de ambas técnicas con algunas variaciones desarrolladas por la Dra. Barreda-Hanson, han demostrado ser una herramienta poderosa para mejorar la respuesta al tratamiento en un período de tiempo más corto, teniendo también la ventaja de permitir practicar los ejercicios en casa. Aplicaciones: la aplicación habitual del EMDR ha sido el tratamiento de trastornos emocionales relacionados con eventos muy perturbadores o traumáticos. Pero también se usa para trabajar síntomas preocupantes como la ansiedad, la depresión, la culpa y la ira. E igualmente, se puede utilizar para mejorar recursos emocionales tales como la confianza y la autoestima. Procedimientos: - El taller se impartirá en español y el alumnado recibirá amplios folletos complementarios. - Se realizará en una única jornada, en sesión de mañana para teoría y de tarde para prácticas, trabajando cada modelo por separado. - Se espera que quienes asistan lleven una cuestión-problema sobre la que trabajar utilizando las diversas técnicas, pues aunque se utilizarán múltiples ej. de casos reales, se alentará a quienes participen a traer sus propias experiencias e ideas para debatir y trabajar sobre ellas.

The subsequent stress after trauma represents a dysfunctional disorder - internal and external - that is manifested in alterations in cognitive recognition and behavior, besides being associated somatic symptoms outcrop unconscious problems and anxieties. As one of the characteristics of post-traumatic stress, is the loss of balance between internal and external world of the sufferer. Therefore, given the complexity of post-traumatic responses, they can be categorized largely into psychopathological disturbances. Psychological stress arises from a stressful situation "real" external, tangible and reaction to this difficult experience, quite evokes a universal and consistent set of symptoms that cause reactions and responses primitive unconscious fears related to threats to life, which bring out fantasies and impulses incipiently overwhelming. The results are the thoughts that lead to dysfunctional responses and maladaptive behaviors. Objectives: The workshop is designed to provide students and psychology professionals - who work or want to work in this area of ​​trauma and behavior change - the ability to quickly and efficiently use brief interventions, which may put in practice even in house. The workshop will explore how to evaluate initial both trauma as to clients. It will work history of trauma and its consequences will deepen and how design brief interventions to address them. It will also focus on finding out what changes customers want and through stories and views, using an adaptation of EMDR therapy and Solution Focused both to create the desired change, and to keep it. Thus the workshop is of particular interest to those working with people who have suffered any kind of trauma, or who perceive life events, experiences, etc.. that negatively affect them in their day to day. Also useful for persons suffering from OCD, especially disorders of thought. The most useful of the two techniques that have adapted along with other innovations of the author, are related to the creation of a safe, non-traumatic, acting quickly and also can be done at home without fear of consequences negative. Specific objectives: 1. Be able to describe and identify the manifestations of trauma. 2. Learn and describe two brief therapeutic techniques in the treatment of trauma 3. Define a short therapeutic technique that can be used to promote change 4. Outline the role of the therapist or during treatment of injuries 5. Be able to describe, design and establish goals of therapy and promote change through the use of brief therapy techniques. Methods: Desensitization and Reprocessing Eye Movement (EMDR), is a complex and inclusive method of individual psychotherapy, which is guided by the client using a procedure to access their experiences and address their behavioral and emotional problems. The EMDR uses multiple elements of both psychodynamic psychotherapeutic approaches as cognitive-behavioral, client-centered approaches, gestalt and bioenergy. The underlying premise of EMDR is that experiences panic and anxiety are processed differently by the brain than normal experiences. The underlying theory is that during stress, gravel memory part of the brain responsible for emotions modulation (amygdala) and temporarily closes another part of the brain (hippocampus), responsible for normal memory processing. The trapped traumatic experience abroad and potentially not part of the normal brain processing, and EMDR allows people access to the experience and transform it into declarative memory in the hippocampus. With EMDR, the hippocampus can be opened to the emotions evoked by the experience that he / the client is able to bear while performing the treatment. Distraction and attention to bilateral stimulation, play an important role to help the client to experience emotions as tolerable. Although bilateral distraction how specifically facilitates the processing of painful experiences, is something that is not yet fully understood. Moreover, brief interventions focused Customer Therapies focus on the exceptions of the problem, thinking that then will develop a natural change in behavior. It is a kind of non-oriented view on traditional forms, but to the future, without going too deeply into the "pathology" but rather focus on what the system can do to adapt to it, since both can decide whether this "pathology "is a problem or not. Brief therapy interventions focused Customer are used to solve a variety of problem behaviors and attitudes, using their own resources and comments from customers and the strategies used to achieve the desired results in their situations normal life. This is a good technique to establish and maintain a context of change in that small but useful changes, anticipate and seek. In short, the combination of both techniques with some variations developed by Dr. Barreda Hanson, have proved a powerful tool for improving the response to therapy in a shorter period of time, having also the advantage of allowing in practice exercises house. Applications: the routine application of EMDR has been the treatment of emotional disorders associated with very disturbing or traumatic events. But also used to work worrying symptoms such as anxiety, depression, guilt and anger. And also, can be used to enhance emotional resources such as confidence and self-esteem. Procedures: - The workshop will be taught in Spanish and students will receive extensive additional brochures. - Will be held in a single day, in morning session and afternoon theory to practice, working each model separately. - Who are expected to attend with a question-problem on which to work using various techniques, for example, although multiple use. real cases, those involved are encouraged to bring their own experiences and ideas to discuss and work on them.

Keywords: Brief Therapy  

Accuracy Verified: Yes

7. Leeds, A. (2008, September). Adaptive information processing, attachment theory and EMDR case conceptualization. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
With complex cases many clinicians struggle with case formulation and predicting responses to EMDR reprocessing. This presentation integrates the Adaptive Information Processing Model with adult attachment classification. Clinical case examples illustrate practical clinical strategies for assessing attachment classification as a foundation for case formulation. With conflicting models for treatment planning in the standard EMDR text, this presentation offers a symptom informed approach, incorporating elements of the parallel models of Korn (Korn, et al., 2004) and Leeds (2004). Case example treatment plans will be presented in a visual format to illustrate how this model can be applied to simple and complex cases.

Keywords: AIP  Attachment Theory  Case Conceptualization  

Accuracy Verified: Yes

8. Leeds, A. (2012, June). Affect phobias in EMDR therapy - developing affect tolerance capacities in client and clinician [Fobias afectivas en la terapia con EMDR -­‐ El desarrollo de habilidades para la tolerancia afectiva en el cliente y el clínico]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Affect phobias may also be described as psychodynamic or dissociative defenses or as ego state conflicts. When patients present with affect phobias and fail to progress with standard EMDR procedural interventions, EMDR therapy can still be effective when clinicians have the conceptual knowledge and perceptual skills to recognize these defenses, and when they can make use of a flexible set of advanced EMDR procedural stills for responding. EMDR trained clinicians must also confront their own affect phobias and psychodynamic conflicts as they experience a range of responses to their work with patients including countertransference and vicarious traumatization that can disrupt their ability to make use of their conceptual, perceptual and procedural knowledge and skills. This presentation provides an overview of concepts from Short-Term Dynamic Psychotherapy (STDP: McCullough, 1997, 2003) and the Theory of Structural Dissociation of the Personality (TSDP: van der Hart, Nijenhuis & Steele, 2006) and identifies procedures from Knipe (1999, 2003, 2005, 2008, 2009, 2010a, 2010b, 2010c), Mosquera (2010, 2011), Mosquera and Gonzalez (2010), and Leeds (2001), which clinicians can employ with cases involving affect phobia. We will also consider how clinicians can be sensitive to and mitigate the potential impact of their own affect phobias in their clinical work.

Las fobias al afecto también se pueden describir como defensas psicodinámicas, disociativas ó como conflictos del estado del yo. Cuando los pacientes presentan fobias al afecto y no avanzan con las intervenciones siguiendo los procedimientos de EMDR habituales, EMDR aún puede ser efectivo cuando los clínicos gozan del conocimiento conceptual, así como las habilidades perceptivas para reconocer dichas defensas y cuándo puede servirse de un conjunto flexible de habilidades de procedimiento de EMDR para responder [ante ellas]. Los clínicos formados en el uso de EMDR también han de afrontar sus propias fobias y conflictos psicodinámicos a medida que pasen por una variedad de respuestas a su trabajo con pacientes, incluidas la contra-­‐transferencia y la traumatización indirecta que pueden perturbar su capacidad para aprovechar sus conocimientos y habilidades conceptuales, perceptivos y habilidades. La presente ponencia ofrece una visión del conjunto de los conceptos de Short-­‐Term Dynamic Psychotherapy (STDP: McCullough, 1997, 2003) [psicoterapia dinámica breve] y de Theory of Structural Dissociation of the Personality (TSDP: van der Hart, Nijenhuis & Steele, 2006) [teoría de la disociación estructural de la personalidad] e identifica procedimientos de Knipe (1999, 2003, 2005, 2008, 2009, 2010a, 2010b, 2010c), Mosquera (2010, 2011), Mosquera y Gonzalez (2010) y Leeds (2001) que pueden aplicar los clínicos en casos de fobia al afecto. También se contemplará cómo los clínicos pueden estar sensibles ante el impacto potencial de sus propias fobias al afecto y cómo mitigarlo en su trabajo clínico.

Keywords: Affect Phobias  

Accuracy Verified: Yes

9. Leeds, A. (2010, July). AIP case forumation and treatment planning. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
responses to EMDR reprocessing. This presentation integrates the Adaptive Information Processing Model with adult attachment classification as a model for case formulation that can assist in predicting responses to EMDR reprocessing. Clinical case examples illustrate practical clinical strategies for assessing attachment classification as a foundation for case formulation. With multiple, divergent models for treatment planning in the standard EMDR text (Shapiro, 2001), this presentation offers a symptom informed approach, incorporating elements of the parallel models of Korn (Korn, et al., 2004), Leeds (2004) and de Jongh, et al., (2010). Case example treatment plans will be presented in a visual format to illustrate how this model can be applied to simple and complex cases.

Keywords: Adaptive Information Processing  AIP  Treatment Planning  

Accuracy Verified: Yes

10. Leeds, A. M. (2009, August). AIP, attachment theory and EMDR Case conceptualization. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
With complex cases, many clinicians struggle with case formulation and predicting responses to EMDR reprocessing. This presentation integrates the Adaptive Information Processing Model with adult attachment classification. Clinical case examples illustrate practical clinical strategies for assessing attachment classification as a foundation for case formulation. With conflicting models for treatment planning in the standard EMDR text, this presentation offers a symptom informed approach, incorporating elements of the parallel models of Korn (Korn, et al., 2004) and Leeds (2004). Case example treatment plans will be presented in a visual format to illustrate how this model can be applied to simple and complex cases.

Keywords: Adaptive Information Processing  AIP  Attachment Theory  

Accuracy Verified: Yes

11. Leeds, A. (2010, June). AIP, attachment theory and EMDR case conceptualization. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
With complex cases, many clinicians struggle with case formulation and predicting responses to EMDR reprocessing. This presentation integrates the Adaptive Information Processing Model with adult attachment classification. Clinical case examples illustrate practical clinical strategies for assessing attachment classification as a foundation for case formulation. With conflicting models for treatment planning in the standard EMDR text, this presentation offers a symptom informed approach, incorporating elements of the parallel models of Korn (Korn, et al., 2004) and Leeds (2004, 2009). Case example treatment plans will be presented in a visual format to illustrate how this model can be applied to simple and complex cases.

Keywords: Adaptive Information Processing  AIP  Attachment Theory  Case Conceptualization  

Accuracy Verified: Yes

12. Sack, M. (2005, November). Alterations in autonomic tone during trauma therapy with EMDR. In S. Woodword, J. Hopper, M. Sack, R. Pitman, & D. Kaloupek (Chairs), Respiratory Sinus Arrhythmia: Insights into Autonomic Function in PTSD. Symposium conducted at the 21st annual meeting of the International Society for Traumatic Stress Studies, Toronto, ON.

Language: English

Format: Conference

Abstract:
Respiratory Sinus Arrhythmia: Insights into Autonomic Function in PTSD: Studies of cardiac responses to trauma-related cues have defined the mainstream of laboratory research in posttraumatic stress disorder. Examinations of respiratory sinus arrhythmia now challenge the view that exaggerated sympathetic tone and reactivity provide a sufficient account of the autonomic abnormalities seen in this diagnosis.
Alterations in autonomic tone during trauma therapy with EMDR: It has been hypothesized that EDMR, by pairing stimuli that evoke divided attention with exposure to trauma memories, elicits repetitive orienting responses followed by enhanced parasympathetic tone, resulting in significant within-session psychophysiological de-arousal. We monitored 10 standard EMDR treatments for PTSD (55 sessions) with impedance cardiography. Heart rate (HR), parasympathetic tone (RMSSD), sympathetic tone (PEP), and respiration rate (RESP) were assessed. Markers were set at the onset of every stimulation/exposure period (N = 811). Effects within and across stimulation sets were examined. An orienting response, with associated sharp increase of parasympathetic tone and significant decrease of HR, was found at stimulation onsets. During ongoing stimulation, sympathetic arousal increased while parasympathetic tone decreased, responses consistent with stressrelated arousal during trauma exposure. However, across entire sessions there was a significant pattern of psychophysiological de-arousal, evidenced by progressively decreasing HR and increasing RMSSD. These findings suggest EMDR is associated with distinct patterns

Keywords: Autonomic Tone  Symposium  

Accuracy Verified: Yes

13. Lee, C. (2005, September). An analysis of critical processes and components in EMDR treatment of trauma memories. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Very little is known about the mechanisms that underlie the effectiveness of EMDR. Participants will be presented with information to facilitate their understanding of two competing hypotheses to account for EMDR effectiveness. Namely, because it uses similar processes found effective in traditional exposure treatments (reliving). Alternaitvely according to Shapiro's proposal of dual process of attention, the procedure may be successful because it elicits distancing responses. Participants will be able to describe how these competing hypotheses were investigated. The responses made by 44 participants with Post Traumatic Stress Disorder (PTSD) were examined during their first EMDR treatment session. Participants will be able to describe the key process variable found to be effective in EMDR treatment of trauma memories and the extent to which this process is determined by eye movement or by therapist instructions.

Keywords: Dual Attention  Mechanism of Action  Reliving  

Accuracy Verified: Yes

14. Mestanza, R. (2007). Aplicación de terapia cognitivo conductual individual, grupal y EMDR, en adolescentes de 11 a 13 anos con altos nivelesde ansiedad del 8º ano de educación básica de la red educativia Helena Cortes Bedoya, en la ciudad de Quito, ano lectivo 2006-2007 [Application of individual and group cognitive behavioral EMDR therapy to 11 to 13 year old adolescents with high levels of anxiety in the 8th year of the Helena Cortes Bedoya educational network, City of Quito School Year 2006-2007]. Universidad Central Del Ecuador, Facultad de Ciencias Psicologicas, Instituto Superior de Postgrado, Quito, Ecuador.

Language: Spanish

Format: Dissertation/Thesis

Abstract:
El presente trabajo de investigación tuvo como objetivo general, verificar si la Terapia Cognitivo-Conductual individual, grupal y EMDR disminuyen la ansiedad en adolescentes de 11 a 13 años del 8º año de Educación Básica de la Red Educativa Helena Cortes Bedoya, Sector Carapungo de la ciudad de Quito, en el año lectivo 2006-2007. Se tomó como referencia que la Terapia Cognitivo-Conductual , es el conjunto de técnicas terapéuticas que han resultado del empleo sistemático del método experimental en la Psicología y demás disciplinas afines, empleados con el propósito de modificar pensamientos y conductas desadaptativas . En tanto que EMDR consiste en la Desensibilización y Reprocesamiento por medio del Movimiento Ocular u otras estimulaciones bi-hemisféricas especialmente para trabajar sobre recuerdos traumáticos. La investigación a realizarse fue de tipo explicativo con diseño cuasi- experimental con un grupo de sujetos estimado del 30 al 50 % del total de la población de adolescentes evaluados con el test ISRA-J. Con ISRAJ (Inventario de Situaciones y Respuestas de Ansiedad – Jóvenes ) se evaluó a 70 estudiantes de 8º Año de Educación Básica obteniendo 14 con alto nivel de ansiedad, a los cuales se les invitó a participar en el taller “ Jóvenes en Aprendizaje” durante 12 sesiones. Al grupo se realizó la evaluación pre y post tratamiento, para verificar si la Terapia Cognitivo Conductual individual y en grupo + EMDR, son efectivos para bajar niveles de ansiedad y considerando el género saber que grupo fue beneficiado en mayor medida. Verificada su efectividad, el programa anteriormente señalado, se aplicará para bajar niveles de ansiedad a todos los adolescentes que luego de ser evaluados con el test ISRAJ obtenga un puntaje directo de 51 a 75, con indicación de tratamiento necesario y de 76 a 100 con necesidad de terapia urgente.

The present research aimed generally verify whether cognitive behavioral therapy individual, group and EMDR decrease anxiety in adolescents 11 to 13 years of Grade 8 Basic Education Educational Network Helena Cortes Bedoya, Sector Carapungo of Quito, in the academic year 2006-2007. The reference used was that cognitive behavioral therapy, is the set of therapeutic techniques that have resulted from the systematic use of the experimental method in psychology and other disciplines, employees with the aim of changing maladaptive thoughts and behaviors. While EMDR is Desensitization and Reprocessing Eye Movement or other bi-hemispheric stimulation specifically to work on traumatic memories. The research was carried out explanatory type quasi-experimental design with a group of subjects estimated 30 to 50% of the total population of adolescents assessed with the ISRA-J test. With ISRAJ (Inventory of Situations and Responses of Anxiety - Young) was assessed 70 students from Year 8 Basic Education getting 14 with high anxiety, to which were invited to participate in the workshop "Young People in Learning" for 12 sessions. The group evaluation was performed before and after treatment, to verify if the individual and Cognitive Behavioral Therapy + EMDR group, are effective in lowering anxiety levels and considering the genre know that group was benefited most. Verified its effectiveness, the program noted above will apply to lower levels of anxiety to all adolescents be evaluated after the test will score ISRAJ live 51 to 75, indicating the necessary treatment and from 76 to 100 with need Urgent therapy.

Keywords: Adolescents  Helena Cortes Bedoya Educational Network  Group Behavioral Therapy  Quito  

Accuracy Verified: Yes

15. Bolsover, N. (2006, June). Attachment style as a predictor of response to EMDR. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
Therapeutic alliance, attachment and EMDR  Therapeutic alliance and attachment theory  “Care-giver responses associated with secure attachment include responsiveness, sensitivity, consistency, reliability, attunement, the capacity to absorb protest and ‘mindmindedness’, the ability to see the distressed child as an autonomous and sentient being with feelings and projects of his or her own.” (Holmes, 2001)  Therapeutic alliance and EMDR. [Excerpt]

Keywords: Attachment Style  

Accuracy Verified: Yes

16. Leiner, A. S., Kearns, M. C., Jackson, J. L., Astin, M. C., & Rothbaum, B. O. (2012, January). Avoidant coping and treatment outcome in rape-related posttraumatic stress disorder. Journal of Consulting and Clinical Psychology,80(2), 317-321. doi: 10.1037/a0026814.

Language: English

Format: Journal

Abstract: Objective: This study investigated the impact of avoidant coping on treatment outcome in rape-related posttraumatic stress disorder (PTSD). Method: Adult women with rape-related PTSD (N = 62) received 9 sessions of prolonged exposure (PE) or eye movement desensitization and reprocessing (EMDR). The mean age for the sample was 34.7 years, and race or ethnicity was reported as 67.7% Caucasian, 25.8% African American, 3.2% Latina, and 3.2% other. PTSD was assessed with the PTSD Symptom Scale–Self-Report (Foa, Riggs, Dancu, & Rothbaum, 1993), and avoidant coping was assessed using the Coping Strategies Inventory–Disengagement subscale (CSI-D; Tobin, Holroyd, Reynolds, & Wigal, 1989). Results: Pretreatment avoidant coping was negatively associated with posttreatment PTSD symptom severity even when controlling for initial severity of total PTSD symptoms and when removing PTSD avoidance symptoms from the analysis to account for potential overlap between avoidant coping and PTSD avoidance symptoms: ΔR2 = .08, b = −0.31, 95% CI [−0.17, −0.01], t(60) = −2.27, p = .028. The CSI-D pretreatment mean score of 100 predicted a 96% likelihood of experiencing clinically significant change (CSC) during treatment. A CSI-D pretreatment score of 61 was associated with a 40% likelihood of experiencing CSC. Conclusions: PE and EMDR appear to be beneficial for women who frequently engage in avoidant coping responses following rape. A small subset of women with initially low levels of avoidant coping are unlikely to experience a therapeutic response from PE or EMDR. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Keywords: Rape  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

17. Dale, S. (2010, April). Baby ache: Applications for EMDR in infertility, miscarriage, and perinatal loss. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
Infertility, miscarriage, and perinatal loss can be among life’s most deeply painful experiences. Losses associated with these life events can be traumatic. For individuals and couples accessing fertility treatments, pre-existing trauma and phobias can complicate their efforts to achieve a successful pregnancy. This presentation outlines common emotional responses to infertility and reproductive loss. It reviews the role of EMDR in treatment of trauma and phobias and applies this knowledge to clients experiencing difficulty conceiving and/or maintaining a pregnancy. Case studies illustrate how EMDR has been used with this client group.

Keywords: Infertility  Miscarriage  Perinatal Loss  

Accuracy Verified: Yes

18. van der Kolk, B. A. (1994, January). The body keeps the score: Memory and the evolving psychobiology of posttraumatic stress. Harvard Review of Psychiatry, 1(5), 253-265. doi:10.3109/10673229409017088.

Language: English

Format: Journal

Abstract:
Ever since people's responses to overwhelming experiences have been systematically explored, researchers have noted that a trauma is stored in somatic memory and expressed as changes in the biological stress response. Intense emotions at the time of the trauma initiate the long-term conditional responses to reminders of the event, which are associated both with chronic alterations in the physiological stress response and with the amnesias and hypermnesias characteristic of posttraumatic stress disorder (PTSD). Continued physiological hyperarousal and altered stress hormone secretion affect the ongoing evaluation of sensory stimuli as well. Although memory is ordinarily an active and constructive process, in PTSD failure of declarative memory may lead to organization of the trauma on a somatosensory level (as visual images or physical sensations) that is relatively impervious to change. The inability of people with PTSD to integrate traumatic experiences and their tendency, instead, to continuously relieve the past are mirrored physiologically and hormonally in the misinterpretation of innocuous stimuli as potential threats. Animal research suggests that intense emotional memories are processed outside of the hippocampally mediated memory system and are difficult to extinguish. Cortical activity can inhibit the expression of these subcortically based emotional memories. The effectiveness of this inhibition depends, in part, on physiological arousal and neurohormonal activity. These formulations have implications for both the psychotherapy and the pharmacotherapy of PTSD.[MLM MEDLINE]

Keywords: Neurobiology  Posttraumatic Stress Disorder  Practice  PTSD  Theory  

Accuracy Verified: Yes

19. Forgash, C., Leeds, A., Stramrood, C. A. I., & Robbins, A. (2013). Case consultation: Traumatized pregnant woman. Journal of EMDR Practice and Research, 7(1), 45-49. doi:10.1891/1933-3196.7.1.45.

Language: English

Format: Journal

Abstract:
Case consultation is a new regular feature in the Journal of EMDR Practice and Research in which a therapist requests assistance regarding a challenging case and responses are written by three experts. In this article, Amy Robbins, a certified eye movement desensitization and reprocessing (EMDR) therapist from Atlanta, Georgia, briefly describes a challenging case in which a pregnant woman seeks treatment for trauma suffered in a tornado. The clinician asks if it is advisable to provide EMDR treatment and what concerns she should be aware of. The first expert, Carol Forgash, provides some general information about pregnancy and psychotherapy and outlines considerations, concerns, and contraindications for proceeding with EMDR. She recommends that if treatment is chosen, the therapist proceed with a recent trauma protocol to specifically target the traumatic memories of the recent tornado. The second expert, Andrew Leeds, comments on the absence of randomized controlled trials (RCTs) or other scientific reports exploring the safety of EMDR treatment of pregnant women. He states that pregnant women with symptoms of posttraumatic stress should understand that there is a high probability that EMDR will improve maternal quality of life and that the risks of adverse effects on stability of pregnancy are probably low, but that these remain unknown. The third expert, Claire Stramrood, explains that the few case studies that evaluated EMDR during pregnancy have found positive effects but pertained to women with posttraumatic stress disorder (PTSD) following childbirth. She asserts that once obstetricians have been consulted, women have been informed about possible risks and benefits, and, given their informed consent, they should be able to choose to commence EMDR therapy during pregnancy.

Keywords: Acute Stress Disorder  ASD  Posttraumatic Stress Disorder  Pregnancy  PTSD  Tornado  

Accuracy Verified: Yes

20. Shapiro, R., Hofmann, A., & Grey, E. (2013). Case consultation: Unremitting depression. Journal of EMDR Practice and Research, 7(1), 39-44. doi:10.1891/1933-3196.7.1.39.

Language: English

Format: Journal

Abstract:
Case Consultation is a new regular feature in the Journal of EMDR Practice and Research. In this article, an eye movement desensitization and reprocessing (EMDR) clinician briefly describes a challenging case in which a man, “George,” was referred for EMDR for treatment of a depression that began more than 2 years previously. After all his reported traumatic memories were completely processed with EMDR, George remains severely depressed and the therapist asks how to proceed effectively with treatment. Responses are written by three experts. The first expert, Robin Shapiro, describes a comprehensive list of possible etiologies, including attachment, early trauma, genetic, and other biological causes and their appropriate EMDR, ego state, or medical treatments. The second expert, Arne Hofmann, reviews the treatment that was provided and makes suggestions for alternate treatment targets, suggesting that the therapist could address the client’s belief that “nothing will change” and try the EMDR inverted protocol. The third expert, Earl Grey, recommends that the clinician focus on addressing small “t” traumas, even if the client indicates that he or she has little to no disturbance and explains how to develop and implement a “restorative life span target sequence.”

Keywords: Consultation  Depression  Treatment  

Accuracy Verified: Yes

21. Leeds, A. (1993, March). Case formulation presentation. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Abstract:
The first principle in EMDR case conceptualization is recognizing the degree to which the treatment will need to address:
1) specific effects of trauma (large t traumas);
2) other developmental deficits (small t traumas) This is assessed during the client history taking (Phase 1); by responses to protocols in both preparation and assessment phases (Phases 2 and 3); reprocessing (Phase 4, 5, and 6); and during thle reevaluation (Phase 8).

Keywords: Case conceputalization  

Accuracy Verified: Yes

22. van Eijk, M (2009). Casus 21 – Het geheugen van het lichaam: Stigmata en lichaamsreacties bij vrouw met ernstig ziekenhuistrauma [Case 21 - The memory of the body: Stigmata and body responses in a woman with a severe trauma from her hospitalization]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 289-299). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_30 .

Language: Dutch

Format: Book Section

Abstract:
Karin is een 42-jarige, hoogopgeleide vrouw, werkzaam als zelfstandig gevestigd adviseur en samenwonend. Ze omschrijft zichzelf als een persoon die de neiging heeft veel te denken en overzicht te zoeken; als iemand die geleerd heeft omcontrole te vinden en te houden.

Karin is a 42-year-old, highly educated woman, working as an independent consultant based and living together. She describes herself as a person who tends to think a lot of searching and review, as someone who has learned to find and keep omcontrole.

Keywords: Body Response  Hospitalization  Stigmata  Trauma  Women  

Accuracy Verified: Yes

23. Flint, G. (1994). A chaos model of the brain applied to EMDR. Psychoscience, 1(2), 119-130.

Language: English

Format: Journal

Abstract:
Eye movement Desensitization and Reprocessing (EMDR) is a treatment phenomena that has yet to be adequately explained. This is a procedure that usually obtains rapid cognitive and/or perceptual changes of remembered trauma. A chaos model of the process of the olfactory system was extrapolated to a theory for the whole brain process. The interesting results provided an explanation of EMDR and other treatment phenomena. The key elements of the theory are that experience changes behavior, small stimuli evoke massive responses and change takes place in active body experience. Case studies are presented that demonstrate the application of the theory.

Keywords: Chaos Model  

Accuracy Verified: Yes

24. Byron, H. (1999). Clinician adherence to and combination of methods with EMDR for post traumatic stress disorder. University of Canberra, Australia.

Language: English

Format: Dissertation/Thesis

Abstract:
The clinical adherence to and combination of methods with EMDR to treat PTSD has not been explored. This is of some concern as 27 000 clinicians are trained in EMDR globally. This exploratory study gained information on Australian trained EMDR clinicians' adherence to EMDR, and the methods they combined with EMDR to treat PTSD. Survey responses from 126 clinicians were analysed using predominantly descriptive statistics. The findings of this study showed that the majority of respondents perceived that they closely adhered to the standard EMDR treatment. However, respondents reported adhering more closely to the phases than the steps of EMDR. Statistically significant findings showed that more experienced EMDR level 1 clinicians were more likely to add steps and phases to EMDR, and to change the standard sequence of steps. Clinicians with greater years of experience were also more likely to change the standard sequence of steps. In addition, more experienced EMDR level 2 clinicians, were less likely to educate their clients about PTSD. Almost all respondents combined EMDR with other methods to treat PTSD. Combined methods included CBT, hypnosis / relaxation, system / solution focused methods and exposure. This research has contributed to theory and practice by uncovering that clinicians appear to use EMDR differently to researchers, by changing EMDR to meet client needs, combining EMDR with other methods and Holly Byron 16/9/99 vi therapies, and introducing EMDR in the mid stage of treatment. These findings are vital to reduce the scientist-practitioner divide by accurately testing EMDR's efficacy and enabling future controlled trials to reflect the clinical use of EMDR.

Keywords: Postrraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

25. Fine, C. G., & Berkowitz, S. A. (1999). The combined use of EMDR and hypnosis in the treatment of DID:  The wreathing protocol:The imbrication of hypnosis and EMDR in the treatment of dissociative identity disorder and other dissociative responses. Presentation at the International Society for the Study of Dissociation Fall Conference, Miami FL.

Language: English

Format: Conference

Keywords: DID  Dissociative Identity Disorder  Hypnotherapy  Posttraumatic Stress Disorder  PTSD  Psychotherapeutic Processes  

Accuracy Verified: No

26. Alexander, R. J. (1998, September). Comparison of eye movement desensitization and reprocessing and hypnosis. Washington State University, Pullman, WA. AAT 9825908.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is being used in the treatment of numerous disorders. This research focused on EMDR and hypnosis to gain insight into whether the EMDR procedure is a hypnotic phenomenon. Ten high (SHSS:C = 10-12) and ten low hypnotizables (SHSS:C = 0-3) from a northwestern university were exposed to EMDR treatment based on Shapiro's procedure (1995). Responses to a post hypnotic suggestion given before the installation phase of EMDR were measured. Mann Whitney U results revealed a significant difference between low and high hypnotizable participants' responses suggesting that there is a hypnotic phenomenon present in EMDR. ANOVA results for Subject Units of Disturbance (SUDS) and Validity of Cognition (VOC) measures revealed significant treatment effects for both highs and lows pre- to posttreatment. Comparison of high and low hypnotizable groups on the posttreatment outcome scores of SUDS revealed that highs experienced significantly lower levels of disturbance than lows. Comparison of high and low hypnotizables on the posttreatment outcome scores of the VOC revealed no significant difference between groups. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(3-B), Sep 1998, pp. 1357.

Keywords: Hypnosis  Empirical Study  Psychotherapeutic Techniques  

Accuracy Verified: Yes

27. Wagstaff, G. F., Cole, J., Wheatcroft, J., Marshall, M., & Barsby, I. (2007). A componential approach to hypnotic memory facilitation: Focused meditation, context reinstatement and eye movements. Contemporary Hypnosis, 24(3), 97-108. doi:10.1002/ch.334.

Language: English

Format: Journal

Abstract:
Although hypnosis is now less popular as an interviewing technique in forensic investigations than it used to be, recent evidence suggests that some of the components of hypnotic interviewing might still be useful in the development of brief memory facilitation procedures. Two experiments are described which continue this componential approach to hypnotic interviewing. In the first experiment, the effects on episodic memory of a brief context reinstatement (revivication) procedure were examined together with a focused breathing meditation technique which shares similarities with traditional hypnotic induction. A second experiment investigated the effects of horizontal eye movements which some have also associated with hypnotic responding. Results indicated that a combined context reinstatement and focused meditation procedure was more effective than context reinstatement alone in facilitating memory for an emotional event without the increase in false positive errors familiar to more traditional hypnosis techniques. In contrast, an instruction to perform horizontal eye movements was not effective in facilitating memory and, when combined with a suggestion for improved recall, produced higher confidence in incorrect responses. Implications are discussed. [Abstract from author]

Keywords: Accuracy  Confidence  Context Reinstatement  Eye Movements  Forensic Hypnosis  Hypnotism  Interviewing  Meditation  Memory  Memory Facilitation  Testing  

Accuracy Verified: Yes

28. Resick, P., Monson, C., Griffin, M., Rothbaum, B., Rasmusson, A., & Shalev, A. (2006, November). Cortisol pre and posttreatment with EMDR or prolonged imaginal exposure in PTSD assault survivors. In Psychobiology and Treatment of PTSD. Symposium conducted at the 22nd annual meeting of the International Society for Traumatic Stress Studies Fall Conference, Hollywood, CA.

Language: English

Format: Conference

Abstract:
Psychobiological treatment of PTSD: This symposium will examine four CBT treatment studies with regard to biological markers. The questions here are whether pretreatment psychobiology or physiological responding can be used to predict treatment outcome, or whether they themselves change as a result of effective treatment.

Cortisol pre and posttreatment with EMDR or prolonged imaginal exposure in PTSD assault survivors: Many studies have noted increased cortisol production in trauma survivors with PTSD, but it is not clear whether effective treatment alters these responses. As part of a larger study, 60 female sexual assault survivors with PTSD began one of two types of cognitivebehavioral treatment (Prolonged Exposure (PE) or EMDR). Each treatment consisted of nine sessions. Sessions 1 and 2 included information gathering, trauma education, and therapy preparation. Sessions 3 through 9 consisted of processing traumatic memories and emotions via either imaginal exposure or EMDR.To examine potential cortisol changes over the course of treatment, salivary cortisol samples were collected at three time points during treatment. A baseline sample was taken at session 1, a second sample was taken at the start of the treatment portion of therapy (session 3), and a third sample was taken at the end of treatment (session 9). Of the original sample of 60 participants, 50 women completed treatment, and ten dropped out. Cortisol responses will be examined in treatment responders and non-responders as well as in treatment completers vs. treatment dropouts.

Keywords: Cortisol  Posttraumatic Stress Disorder  Prolonged Imaginal Exposure  Assault  PSTD  Survivors  Symposium  

Accuracy Verified: Yes

29. Singer, M. T., & Lalich, J. (1996). Crazy therapies:  What are they? Do they work?. San Francisco: Jossey-Bass.

Language: English

Format: Book

Abstract:
The relationship between patient and therapist is unique in important ways when compared to relationships between clients and other professionals such as physicians, dentists, attorneys, and accountants. The key difference is present from first contact: it is not clearly understood exactly what will transpire. There is no other professional relationship in which consumers are more in the dark than when they first go to see a therapist. In other fields, the public is fairly well informed about what the professional does. Tradition, the media, and general experience have provided consumers with a baseline by which to judge what transpires. If you break your arm, the orthopedist explains she will take an X ray and set the bone; she tells you something about how long the healing will take if all goes well and gives you an estimate of the cost. When you go to a dentist, you expect him to look at your teeth, take a history, explain what was noted, and recommend a course of treatment with an estimate of time and cost. Your accountant will focus on bookkeeping, tax reports, and finances, and help you deal with regulatory agencies. Consumers enter these relationships expecting that the training, expertise, and ethical obligations of the professional will keep the client's best interests foremost. Both the consumer and the professional are aware of each person's role, and it is generally expected that the professional will stick to doing what he or she is trained to do. The consumer does not expect his accountant to lure him into accepting a new cosmology of how the world works or to "channel" financial information from "entities" who lived thousands of years ago; or for his dentist to induce him to believe that the status of his teeth was affected by an extraterrestrial experimenting on him. Nor does the patient expect the orthopedist to lead him to think the reason he fell and broke his arm was because he was under the influence of a secret satanic cult. But seeing a therapist is a far different situation for the consumer. In the field of psychotherapy there is no relatively agreed upon body of knowledge, no standard procedures that a client can expect. There are no national regulatory bodies, and not every state has governing boards or licensing agencies. There are many types and levels of practitioners. Often the client knows little or nothing at all about what type of therapy a particular therapist "believes in" or what the therapist is really going to be doing in the relationship with the client. In meeting a therapist for the first time, most consumers are almost as blind as a bat about what will transpire between the two of them. At most, they might think they will probably talk to the therapist and perhaps get some feedback or suggestions for treatment. What clients might not be aware of is the gamut of training, the idiosyncratic notions, and the odd practices that they may be exposed to by certain practitioners. Consumers are a vulnerable and trusting lot. And because of the special, unpredictable nature of the therapeutic relationship, it is easy for them to be taken advantage of. This makes it all the more incumbent on therapists to be especially ethical and aware of the power their role carries in our society. The misuse and abuse of power is one of the central factors in what goes wrong. Questions to Ask Your Prospective Therapist Ultimately, a therapist is a service provider who sells a service. A prospective client should feel free to ask enough questions to be able to make an informed decision about whether to hire a particular therapist. We have provided a general list of questions to ask a prospective therapist, but feel free to ask whatever you need to know in order to make a proper evaluation. Consider interviewing several therapists before settling on one, just as you might in purchasing any product. Draw up your list of questions before phoning or going in for your first appointment. We recommend that you ask these questions in a phone interview first, so that you can weed out unlikely candidates and save yourself the time and expense of initial visits that don't go anywhere. If during the process a therapist continues to ask you, "Why do you ask?" or acts as though your questioning reflects some defect in you, think carefully before signing up. Those types of responses will tell you a lot about the entire attitude this person will express toward you - that is, that you are one down and he is one up, and that furthermore you are quaint to even ask the "great one" to explain himself. If you are treated with disdain for asking about what you are buying, think ahead: how could this person lead you to feel better, plan better, or have more self-esteem if he begins by putting you down for being an alert consumer? Remember, you may be feeling bad and even desperate, but there are thousands of mental health professionals, so if this one is not right, keep on phoning and searching.

Keywords: Practice  Theory  

Accuracy Verified: Yes

30. Lee, C. (2008). Crucial processes in EMDR - More than imaginal exposure. Journal of EMDR Practice and Research, 2(4), 262-268. doi:10.1891/1933-3196.2.4.262.

Language: English

Format: Journal

Abstract:
The processes that underlie the effectiveness of eye movement desensitization and reprocessing (EMDR) are examined by evaluating the procedural differences between it and exposure therapy. Major factors include the degree of emphasis placed on reliving versus distancing in the therapies and the degree to which clients are encouraged to focus on direct trauma experiences versus experiences associated with the trauma. Research results indicate that, unlike traditional imaginal exposure, reliving responses in EMDR did not correlate with symptom improvement. Instead, consistent with an information processing model, the degree of distancing in EMDR was significantly associated with improvement. A case study is described to highlight these methodological divergences in the respective therapies relating to reliving. Finally, the research regarding the possible sources of the distancing response within EMDR was examined. The results indicate that the distancing process was more likely to be an effect produced by eye movements than by any therapist instructions. Theoretical and research evaluations indicate that the mechanisms underlying EMDR and traditional exposure therapy are different.

Keywords: Exposure Therapy  Information Processing  Posttraumatic Stress Disorder  PTSD  Reliving  

Accuracy Verified: Yes

31. Young, W., Puk, G., & Rouanzoin, C. C. (1995, June). Current trends using EMDR in dissociative disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop covers the screening, diagnosis, treatment and pitfalls encountered in using EMDR in Dissociative Disorders. The unexpected finding of dissociative disorders among trauma victims using EMDR requires therapists to be able to recogme and screen for dissociative conditions. Under special circumstances, these patients may have negative reactions which the EMDR therapist should be prepared to manage. Treatment requires a strong alliance, an awareness of dissociation and the management of patients' abreactions. Treatment guidelines have been established for using EMDR which can guide therapists as our expmence with dissociative disorders evolves. A careful informed consent should be obtained and an assessment of the patient's inner resources made so that ffagile patients with histories of chronic trauma are not inadvertently injured. Further, EMDR is not designed as a tool for "memory work" but for the reduction of distress for events or experiences already known. Lectures, discussions, handouts and video tape demonstrations show the application of EMDR in a variety of conditions. The results of a pilot study using EMDR in 15 patients with 33 target symptoms will be presented. In this limited sample, between 50% and 60% of patients achieved significant reduction of their distress levels on selected targets. A variety of responses occurred including fusions, generalization effects, and establishmg inner dialogue. In addition, a variety of problems arose resulting in treatment failures or cessation of EMDR. These include such reactions as flooding, escalation of anger, paranoia and resistance to the treatment. The implications of these findings suggest that cautious patient selection and use of EMDR has a potential use and that as research in this population continues, strategies for overcoming problem areas can be developed.

Keywords: Dissociative Disorders  

Accuracy Verified: Yes

32. van der Kolk, B. A., & Stickgold, R. (1998, July). Current understanding of the psychobiology of trauma. Plenary presented at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will have basic knowledge about 1) the variety of psychophysiological responses to trauma; 2) current status of our knowledge about how the shutting off of the trauma response is mediated on hypothalamic-pituitary-adrenal axis, and the abnormalities of this biological system in PTSD; 3) basic understanding about the functions of different parts of the brain, in particular, the structure; and 4) explorations into possible modes of action of EMDR.

Keywords: Plenary  Psychobiology  

Accuracy Verified: Yes

33. van Eijk, M. & ter Braak, A. (2008, Maart). De noodkreet van het lijf: Het lichaam spreekt [The cry of the body: The body speaks]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
De gevolgen van psychotrauma manifesteren zich in de meeste gevallen in de vorm van herbelevingen, vermijding, emotionele ontregeling, concentratiestoornissen en dergelijke. Lichamelijke klachten worden inmiddels ook steeds vaker herkend als een van de gevolgen van PTSS. In deze workshop wordt naast aandacht voor de theoretische achtergrond van psychofysiologische reacties, ingegaan op wat men als EMDR- therapeut in de praktijk kan tegenkomen: dit kan variëren van selectief mutisme tot stigmata en van verlammingsverschijnselen tot visus uitval. Een en ander wordt geïllustreerd aan de hand van voorbeelden en videomateriaal.

The effects of psychotrauma manifest themselves in most cases in the form of reexperiencing, avoidance, emotional disturbance, impaired concentration and the like. Physical symptoms are also now increasingly being recognized as one of the effects of PTSD. This workshop will next focus on the theoretical background of psycho-physiological responses, discuss what they like EMDR therapist in practice may encounter: this may range from selective mutism to stigmata and paralysis to vision loss. This is illustrated by examples and video material.

Keywords: Body  Psychophysiological Responses  Somatic  

Accuracy Verified: Yes

34. Rassin, E., Muris, P., & Merckelbach, H. (1996). De pijndempende werking van eye movement desensitization and reprocessing (EMDR) is beperkt [The pain attenuation of EMDR is limited]. Directieve Therapie, 16(3), 274-284. doi:10.1007/BF03060149 .

Language: Dutch

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd in 1989 door Shapiro geïntroduceerd als een therapeutische techniek voor Posttraumatische stress–stoornis (PTSS). Sindsdien hebben diverse EMDR–;therapeuten geopperd dat deze interventie ook toepasbaar is bij andere trauma–gerelateerde klachten. In een studie van Hekmat, Groth en Rogers (1994) is geclaimd dat EMDR effectief is bij de behandeling van pijn. In het onderhavige onderzoek is deze claim verder onderzocht. Daartoe werden 45 gezonde vrijwilligers onderworpen aan 8 elektrische prikkels. De proefpersonen werden verdeeld over 3 groepen: een groep die behandeld werd met EMDR, een groep die ter afleiding van de prikkels naar een cartoon keek, en een controlegroep waarbij geen verdere interventie werd uitgevoerd. Zowel fysiologische als subjectieve reacties op de pijnprikkels werden geregistreerd. Op geen enkele effectmaat werden verschillen tussen de drie groepen gevonden. In de discussie wordt dit resultaat in een breder perspectief geplaatst.

Eye Movement Desensitization and Reprocessing (EMDR) was introduced by Shapiro in 1989 as a therapeutic technique for posttraumatic stress disorder (PTSD). Since then several EMDR, therapists suggested that this intervention is also applicable to other trauma-related symptoms. In a study by Hekmat, Groth and Rogers (1994) has claimed that EMDR is effective in treating pain. In the present study further investigated this claim. For this purpose, 45 healthy volunteers subjected to 8 electrical stimuli. The subjects were divided into 3 groups: one group treated with EMDR, a group that as a distraction from the stimuli to a cartoon look, and a control group with no further intervention was performed. Both physiological and subjective responses to pain stimuli were recorded. In no effect size differences were found between the three groups. In the discussion, this results in a wider perspective.

Keywords: Pain Attenuation  

Accuracy Verified: Yes

35. Jaspers, J. (2011, May). De relatie tussen wetenschap en klinische praktijk [The relationship between science and clinical practice]. Psychologie & Gezondheid, 32(2), 59-60. doi:10.1007/s12483-011-0016-6.

Language: Dutch

Format: Journal

Abstract:
De discussie over mindfulness die in het vorige nummer van Psychologie & Gezondheid is gevoerd, wordt in dit nummer voortgezet. Frank Vernooij reageert op de eerdere bijdragen vanuit zijn klinische ervaring metmindfulnessmeditatietraining (MTT). Hij relativeert de bijdrage die vanuit de wetenschap kan worden geleverd aan de klinische praktijk in het algemeen en aan het vaststellen van de waarde en effectiviteit van mindfulness in het bijzonder. Ook in het vorige nummer werd door Maya Schroevers en haar collega’s en door Ivan Nyklíček het effectonderzoek naar MTT al positiever ingeschat dan door Remco Havermans, maar Vernooij gaat nog een stapje verder. Hij lijkt de mogelijkheden van de wetenschap om uitspraken te doen over de klinische praktijk niet hoog in te schatten. Havermans vermoedt zelfs dat Vernooij hem beschuldigt van sciëntisme, de overtuiging dat wetenschap superieur is aan alle andere interpretaties van het leven. Havermans maakt glashelder waarom hij vindt dat wetenschap een cruciale rol vervult voor een op evidentie gebaseerde klinische praktijk. Tevens stelt hij nogmaals vast dat de evidentie voor MMT te wensen overlaat en dat ook het meest recente onderzoek, gepubliceerd in 2010 en 2011, dezelfde methodologische tekorten kent als eerder effectonderzoek naar MMT. De zoekterm ‘mindfulnesss’ leverde voor 2010 en 2011 weliswaar bijna 400 citaties op, maar hieronder vond hij slechts vijf relevante MMT-trials. Bij zijn beschrijving van deze trials stelt Havermans terloops vast dat hoge impactfactoren van tijdschriften niet garant staan voor kwalitatief het best mogelijke onderzoek. Dit laatste is mogelijk een troost voor Sandra Mulkens en andere Nederlandse onderzoekers die, geheel in de huidige academische traditie, zo hoog mogelijk proberen te scoren in Engelstalige wetenschappelijke tijdschriften, lees haar column in dit nummer. Naast effectonderzoek is onderzoek in de traditie van de experimentele psychopathologie (Jansen, Van den Hout & Merckelbach, 2010) een beproefde manier om wetenschappelijke kennis te vergaren die van groot belang kan zijn voor de klinische praktijk. Het openingsartikel van dit nummer is hiervan een voorbeeld bij uitstek. Over de werkzame factoren van EMDR (eye movement desensitization and reprocessing) is veel gespeculeerd, maar nauwelijks iets bekend. Het onderzoek van Marcel van den Hout, Iris Engelhard en collega’s heeft hierover een aannemelijk theoretisch model opgeleverd. De theorie dat belasting van het werkgeheugen een cruciale rol speelt bij het vervagen van negatieve en positieve herinneringen is door hen in een serie experimenten overtuigend aangetoond. Een van die experimenten wordt in het openingsartikel beschreven. De publicaties hierover (zowel Engelstalig als in het Nederlands) en de klinische implicaties die door de onderzoekers zijn geformuleerd, hebben tot veel reacties geleid. Gelet op de geschiedenis van EMDR in Nederland, met uitgesproken pleitbezorgers en criticasters, wekt dat wellicht weinig verbazing. In nummer 1 van Dth (Directieve therapie) van dit jaar reagerenWillen van der Does en Hellen Hornsveld op het model van Van den Hout en Engelhard en de consequenties ervan voor de klinische praktijk. Een opmerkelijke overeenkomst met de discussie over mindfulness is de verschillende interpretatie van het wetenschappelijk onderzoek, in dit geval de evidentie voor EMDR in vergelijking met cognitieve gedragstherapie (CGT): Van der Does (2011) meent dat EMDR net iets minder effectief is dan CGT, terwijl Hornsveld (2011) de conclusie trekt dat CGT, in het bijzonder imaginaire exposure, het aflegt tegen EMDR. Ook al waarschuwen beiden tegen al te snelle gevolgtrekkingen van dit experimenteel onderzoek bij niet-patiënten voor de klinische praktijk, nieuwe wetenschappelijke informatie lijkt vooral geïnterpreteerd te worden vanuit reeds eerder bestaande opvattingen en oordelen over EMDR en CGT. De suggestie van Van den Hout en Engelhard (2011) dat EMDR een gewone CGT-techniek kan worden, zal hen door de snel groeiende Vereniging EMDR Nederland niet in dank worden afgenomen, al hoopt Van der Does (2011) op decimering van het ledental. Al met al blijkt uit deze recente discussies het spanningsveld tussen wetenschap en klinische praktijk. De ontwikkelingen in de (klinische) psychologie, waarbij de kloof tussen wetenschappers en clinici alleen maar lijkt toe te nemen, onder andere omdat het door de toenemende specialisaties steeds moeilijker wordt voor psychologen om beide beroepsrollen te combineren, doen daar geen goed aan.

The discussion about mindfulness in the previous issue of Psychology & Health are hereby continued in this issue. Frank Vernooij responding to previous contributions from his clinical experience mindfulness and meditation training (MTT). He puts the contribution that science can be delivered to the clinical practice in general and to determine the value and effectiveness of mindfulness in particular. In the previous issue was Schroevers Maya and her colleagues and by Ivan Nyklicek impact study MTT been more positive assessments than by Remco Havermans, Vernooij but goes one step further. He seems the ability of science to make statements about the clinical practice to estimate high. Havermans even suspects that he Vernooij accused of scientism, the belief that science is superior to all other interpretations of life. Havermans makes clear why he thinks science is a crucial role for an evidence-based clinical practice. Also, he once again that the evidence of MMT is inadequate and that the latest research, published in 2010 and 2011, has the same methodological shortcomings as earlier research on effects MMT. The search term 'mindfulnesss "delivered in 2010 and 2011, while nearly 400 citations, but below, he found only five relevant trials MMT. In his description of these trials suggests that high Havermans casually impact factors of journals does not guarantee the best quality research. The latter may be a comfort to Sandra Mulkens and Dutch researchers, all in the current academic tradition, try to score as high as possible in English scientific journals, read her column in this issue. Besides effects research, research in the tradition of experimental psychopathology (Jansen, Van den Hout & Merckelbach, 2010) a proven way to scientific knowledge is produced that may be important for clinical practice. The opening article of this issue is an example par excellence. On the effective factors of EMDR (Eye Movement Desensitization and Reprocessing) has been much speculation but very little known. The study by Marcel van den Hout, Iris Engelhard and colleagues has made a plausible theoretical model yielded. The theory that taxes working memory plays a crucial role in the blurring of negative and positive memories by them in a series of experiments convincingly demonstrated. One of those experiments in the opening article. The publications on this subject (both English and Dutch) and the clinical implications have been formulated by the investigators, have led to many responses. Given the history of EMDR in the Netherlands, with strong advocates and critics, suggests that perhaps little surprise. In a number of Dth (directive therapy) this year to respond to van der Does and Helen Horn Field on the model of van den Hout and Engelhard and its consequences for clinical practice. A remarkable agreement with the discussion of mindfulness is the different interpretations of scientific research, in this case the evidence for EMDR compared to cognitive behavioral therapy (CBT): Van der Does (2011) believes that EMDR is slightly less effective than CBT, while Horn Field (2011) concludes that CBT, in particular imaginal exposure, it looses against EMDR. Although both warn against too rapid conclusions from this experimental study in non-patients for clinical practice, new scientific information seems to be interpreted from pre-existing beliefs and judgments about EMDR and CBT. The suggestion of Van den Hout and Engelhard (2011) that EMDR is a simple CBT techniques may be, will bring them through the fast-growing Netherlands Association EMDR not be appreciated, though hopes Van der Does (2011) on the decimation of the membership. All in all, of these recent discussions the tension between science and clinical practice. Developments in the (clinical) psychology, where the gap between scientists and clinicians only seems to be increasing, partly because it is the increasing specialization is becoming increasingly difficult for psychologists to both professional roles to combine, do not do well.

Keywords: Mindfulness and Meditation Training, MTT  

Accuracy Verified: Yes

36. Forgash, C. A. (2005, June). Deepening EMDR treatment effects across the trauma spectrum: Integrating EMDR and ego state work. Föreningen EMDR Sverige, EMDR Tidningen, 7(2), 6-14.

Language: English

Format: Newsletter

Abstract:
The concepts, interventions, and techniques presented in this workshop are culled from theory and techniques of working with the range of the dissociative disorders). They have proved to be an effective addition to the preparation stage of the EMDR protocol. In other words, they can be used with clients who dissociate under certain conditions but do not have a dissociative disorder Most of the traumatized clients seen for EMDR treatment have a range of dissociative symptoms as well as symptoms of PTSD. This combination of PTSD and a dissociative disorder is often labeled DDNOS. However, people with a more complex variety of PTSD usually have experienced very early and enduring severe physical or sexual abuse (generally perpetrated by a family member), atrocities, war, or severe environmental disruption such as earthquakes. They are more accurately diagnosed with disorders of extreme stress (DESNOS). For these clients, the dissociated neural networks, or dissociative fragmentation, cause serious problems in adult life. The adaptive information processing system is on hold for these dissociated fragments or parts. They are easily triggered by internal or external cues to which they can have extreme reactions, (flashbacks, amnesia, losing time and place, and so forth.) Our goal as therapists is to use EMDR to help clients (and their internal dissociated neural networks or parts) find stability and resources to function adaptively in their present life, and then desensitize and reprocess the dissociated trauma memories and the PTSD symptoms. We aim to help our clients manage their symptoms. It is not our goal to eliminate dissociation, which has been a major survival strategy, but to help the client utilize it with conscious control. It is important to note that attachment issues are an aspect of development that are especially impacted by trauma. The attachment styles of the family pre trauma may have already affected the client in negative ways, impacting the client's resources and responses to trauma. One way to look at this set of problems is to utilize two approaches in the preparation phase of EMDR. These approaches combine the treatment of dissociative symptoms with ego state work and are an essential aspect of treating these clients with EMDR. This work may extend the preparation phase considerably, but will add safety and structure to the trauma processing experiences for these clients.

Keywords: Ego State Therapy  

Accuracy Verified: Yes

37. Marcela, L., & Lemus, G. (2008, December). Desensibilización y reprocesamiento con movimientos oculares [Eye movement desensitization and reprocessing]. Revista Colombiana de Psiquiatría, 37(Supplement 7). .

Language: Spanish

Format: Journal

Abstract:
Introducción: La técnica de desensibilización y reprocesamiento con movimientos oculares (EMDR, por sus iniciales en inglés) es un método terapéutico relativamente reciente que ha mostrado efi cacia en el tratamiento de diferentes entidades psiquiátricas y somáticas. Se postula que sus resultados se logran a través de cambios en el proceso de almacenamiento de recuerdos y en las respuestas físicas y emocionales relacionadas. Objetivo: Describir las características principales de la EMDR y sus aplicaciones. Método: Revisión de la literatura. Desarrollo y conclusiones: La EMDR es una técnica útil para el tratamiento de una gran variedad de trastornos psiquiátricos y somáticos. Se han descrito algunas reacciones adversas, lo cual resalta la importancia de elegir adecuadamente los pacientes candidatos a ser tratados con esta terapia.

Introduction: The Eye Movement Desensitization and Reprocessing technique (EMDR) is a relatively new treatment method that has shown to be effective in treating different psychiatric and somatic entities. It is postulated that its results are achieved through changes in the process of memory storing and in the related physical and emotional responses. Objective: To describe the main characteristics of EMDR and its applications. Method: Literature review. Development and conclusions: EMDR is a useful technique in the treatment of a large series of psychiatric and somatic disorders. Some adverse reactions have been described and this stresses the importance of selecting adequately those patients to be treated with this therapy.

Keywords: Desensitization  Eye Movement  Psychiatric Disorders  

Accuracy Verified: Yes

38. Leeds, A. M. (1992, May). Difficult cases. EMDR Network Newsletter, 2(1), 7.

Language: English

Format: Newsletter

Abstract: H
ave you experienced atypical responses to EMDR, lack of progress, even outright therapeutic failures? You are invited to submit your challenging clinical problems to "Difficult Cases." "Difficult Cases" will be a regular column in future EMDR Network new letter^. Your proposed solutions are welcome, but are not necessary. Remember, you are not the only one encountering these problems.

Keywords: Difficult Cases  

Accuracy Verified: Yes

39. Tym, R., Dyck, M., & McGrath, G. (2000, July-August). Does a visual perceptual disturbance characterize trauma-related anxiety syndromes?. Journal of Anxiety Disorders, 14(4), 377-394. doi:10.1016/S0887-6185(00)00029-3.

Language: English

Format: Journal

Abstract:
The i-test was developed to assess the visual-perceptual disturbances (VPDs) frequently reported by anxious patients. Persons with the disturbance report a specific abnormal illusion of movement when they maintain a fixed gaze at the i-test stimulus. Base rates for positive responses to the i-test and for reports of a "recurrent specific memory" (RSM) of a fear experience were obtained in psychiatric outpatient (n = 301) and community (n = 128) samples. In each case, approximately one fifth of participants had a positive response to the i-test and one fifth of participants reported an RSM of fear. A positive response to the i-test is observed in women more frequently than in men. Among psychiatric patients, approximately 90% of patients who report one symptom also report the other symptom; among community members, the concordance rate is approximately 33%. When psychiatric patients with both an abnormal illusion of movement response and an RSM of trauma are treated with eye movement desensitization, both symptoms are removed in 70% of cases; when these patients undergo some other form of treatment, both symptoms are removed in 30% of cases. These results indicate that the i-test is an effective way of identifying VPDs associated with psychopathologic conditions; the association between the abnormal illusion of movement and reports of recurrent specific memories of fear experiences suggests that the VPD may be a marker of traumatic stress syndromes. [Author Abstract]

Keywords: Adolescents  Adults  Assessment  Children  Depressive Disorders  Females  Males  Injuries  Memory Retrieval Techniques  Posttraumatic Stress Disorder  PTSD  Somatic Symptoms  Survivors  Treatment Effectiveness  Visual Hallucinations  Witnesses  

Accuracy Verified: Yes

40. Grey, E. (2009, August). Earning security with EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .

Language: English

Format: Conference

Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships. Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience. In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies. From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect. This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.

Keywords: Affect Phobias  Phobias  Relational Trauma  

Accuracy Verified: Yes

41. Cotraccia, T. (2009, August). Earning security with EMDR - Promoting social engagement in the wake of relational trauma. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships. Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience. In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies. From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect. This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.

Keywords: Poster  Social Engagement  

Accuracy Verified: Yes

42. Hollander, H. E., & Bender, S. S. (2001, January-April). ECEM (Eye Closure Eye Movements):  Integrating aspects of EMDR with hypnosis for treatment of trauma. American Journal of Clinical Hypnosis, 43(3-4), 187-202. doi:10.1080/00029157.2001.10404276.

Language: English

Format: Journal

Abstract:
The paper addresses distinctions between hypnotic interventions and Eye Movement Desensitizing and Reprocessing (EMDR) and discusses their effect on persons who have symptoms of PTSD. Eye movements in hypnosis and EMDR are considered in terms of the different ways they may affect responses in treatment. A treatment intervention within hypnosis called ECEM (Eye Closure, Eye Movements) is described. ECEM can be used for patients with histories of trauma who did not benefit adequately from either interventions in hypnosis or the EMDR treatment protocol used separately. In ECEM the eye movement variable of EMDR is integrated within a hypnosis protocol to enhance benefits of hypnosis and reduce certain risks of EMDR. [Author Abstract]

Keywords: Hypnotherapy  Posttraumatic Stress Disorder  PTSD  Psychotherapeutic Processes  Stressors  Survivors  

Accuracy Verified: Yes

43. Meneses, J. A. (2007). Efectividad del EMDR, en la reducción de la ansiedad extrema a los exámenes academicos, en las alumnas de los sextos cursos del instituto tecnológico “Eloy Alfaro”, de la ciudad de esmeraldas, durante el ano 2.006 [Effectiveness of EMDR in reducing extreme anxiety to academic examinations in the students of the sixth technical institute courses "Eloy Alfaro" emerald city, during the year 2006]. Universidad Central Del Ecuador, Facultad de Ciencias Psicologicas, Instituto Superior de Postgrado, Quito, Ecuador.

Language: Spanish

Format: Dissertation/Thesis

Abstract:
El EMDR, es un método psicoterapéutico, efectivo para reducir la ansiedad extrema a los exámenes académicos, a niveles normales, en un 88.8%, de los casos, en 9.25 sesiones de tratamiento, como promedio, con un nivel de confianza del 95 y 99%, en las alumnas de los sextos cursos, del Instituto Tecnológico “Eloy Alfaro, de la ciudad de Esmeraldas, durante el año 2.006. OBJETIVOS DE APRENDIZAJE: 1. Demostrar que EMDR, es efectivo también para reducir la ansiedad extrema a los exámenes académicos. 2. Informar que EMDR, reduce además a niveles normales los sistemas de respuestas de ansiedad cognitiva, fisiológica, y motora y la ansiedad a la evaluación. 3. Concienciar que EMDR, provoca también cambios cognitivos, emocionales y conductuales, como por ejemplo, el aumento de la autoestima y de la autoeficacia. 4. Comunicar que, luego del estudio de seguimiento, se estableció que EMDR, es efectivo en la reducción de la ansiedad extrema a los exámenes, en forma estable, es decir sin que se produzcan recaídas o sustitución de síntomas

In this study, which is kind of explanation, then use the hypothetical-deductive method with a quasi-experimental design with experimental and control group, formed at random, with pre and post treatment, with statistical processing of data, with the Student t test, and ANOVA before and after treatment, and once tested the hypothesis, it was established that: EMDR is a psychotherapeutic method, effective in reducing extreme anxiety to academic tests to normal levels in 88.8% of the cases, treatment sessions 9.25, on average, with a confidence level of 95 and 99 % of pupils in the sixth course, the "Eloy Alfaro" Technological Institute in Esmeraldas City Ecuador during the year 2006. LEARNING OBJECTIVES: 1. Show that EMDR is also effective to reduce extreme anxiety to academic exams. 2. Report that EMDR also reduces systems to normal levels of anxiety responses cognitive, physiological, and motor and anxiety evaluation. 3. Awareness that EMDR also causes cognitive, emotional and behavioral, for example, increased self-esteem and self-efficacy. 4. Report that, after the follow-up study established that EMDR is effective in reducing extreme anxiety tests in stable form, ie without the occurrence of relapse or symptom substitution.

Keywords: Anxiety  Eloy Alfaro  Students  

Accuracy Verified: Yes

44. Becich, H. A. (1995). The effect of varying the rate of the eye movements in eye movement desensitization reprocessing (EMDR) with battered women. California School of Professional Psychology, Los Angeles, CA. AAT 9531596.

Language: English

Format: Dissertation/Thesis

Abstract:
The rapid saccades used in eye movement desensitization reprocessing (EMDR) have been reputed to be critical to its efficacy. To evaluate this hypothesis, the rate of the eye movements was varied in this study. Subjects included 27 battered women who were rated PTSD-positive by a modified version of the Symptom Checklist (MSC). Participants were randomly assigned to one of three groups: EMDR Fast, EMDR Slow or Control.Prior to treatment, subjects completed the Revised Impact of Events Scale (IES). Treatment involved one experimental session lasting up to 90 minutes. Dependent variables included the Subjective Units of Distress (SUDs) (derived from the Subjective Units of Disturbance Scale), the Validity of Cognition (VOC) and the Vividness of Traumatic Image (VTI) Scales as well as the Intrusion subscales of the MSC and the IES. At post-treatment one week later, subjects again provided responses to the five dependent variables and, for ethical reasons, were provided another session of treatment at the EMDR Fast rate if their SUDs were 2 or greater. Results of the mixed, two factor analyses indicated no differences between the groups. Hence, the outcomes showed that the rapid eye movements did not provide a differential treatment effect as hypothesized. All groups experienced improvement on the SUDs and VTI Scales and the MSC Intrusion subscale, supporting occurrence of an exposure effect. This investigation was the first controlled EMDR study conducted with battered women, as well as the first experiment on this procedure using a clinical population in which the rate of the eye movements was varied. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(5-B), Nov 1995, pp. 2854

Keywords: Adults  Americans  Battery  Empirical Study  Follow-up Study  Females  Posttraumatic Stress DIsorder  PTSD  Spouse Abuse  Survivors  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes

45. Manfield, P. (2006, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The workshop begins with a discussion of which clients this technique is appropriate for. The technique is not recommended for couples in which either or both partners do not have adequate affect tolerance, observing ego, or trust of each other's integrety. Other risk factors for using EMDR in couples therapy that have been highlighted in other presentations and literature will be briefly reviewed. Participants will learn to differentiate between clients' statements that represent present experience and those that represent concepts of present experience or reporting of past experiences. Participants will be taught specific interventions which they will practice in guided exercise that will enable them to facilitate both individuals and couples to stay in their present experience during EMDR targeting. Irrational emotional responses to daily interactions and conflicts are often the result of unresolved issues resulting from underlying feeder memories. Participants will learn a simple method for identifying underlying issues of each individual partner related to a given conflict. The final and most substantial portion of this presentation will be focused on using a refined "affect bridge" technique to identify the feeder memories associated with those issues so that they can be targeted with the standard EMDR protocol. Specific methods will be taught to overcome clients' resistance and difficulties with accessing memories; these methods include use of accessing cues (re: Neurolinguistic Programming) and developing eidetics (re: Eidetic Psychotherapy) These methods will be illustrated using a case transcript, guided participant experiential exercise, and live demonstration.

Keywords: Couples  Couples Therapy  Targeting  

Accuracy Verified: Yes

46. Merckelbach, H., Hogervorst, E., Kampman, M., & de Jongh, A. (1994). Effects of '"eye movement desensitization" on emotional processing in normal subjects. Behavioural and Cognitive Psychotherapy, 22(4), 331-335. doi:10.1017/S1352465800013217.

Language: English

Format: Journal

Abstract:
A number of single case reports have made impressive claims for the efficacy of "eye movement desensitization" (EMD) in the treatment of traumatic memories. Many of these case reports claim that EMD reduces the unpleasant feelings associated with traumatic images. However, at present, there are no published controlled studies that provide evidence for these claims. The present experiment investigated whether EMD inhibits emotional responding during retrieval of aversive information. Normal Ss (N = 40) were exposed to an aversive slide. During a next stage, half of the Ss underwent EMD while they rehearsed the slide information, whereas the other half underwent a control procedure (i.e., finger tapping) while rehearsing slide information. Before and after EMD or control intervention, heart rate and self-report data were obtained while Ss retrieved and visualized the aversive slide. No evidence was found to suggest that EMD inhibits emotional reactivity more than does finger tapping. [Author Abstract]

Keywords: Aversive Stimulation  Emotional Responding During Retrieval of Aversive Information  Emotional Responses  Eye Movements  Treatment  

Accuracy Verified: Yes

47. Parker, A., Relph, S., & Dagnall, N. (2008, January). Effects of bilateral eye movements on the retrieval of item, associative, and contextual information. Neuropsychology, 22(1), 136-145. doi:10.1037/0894-4105.22.1.136.

Language: English

Format: Journal

Abstract:
Two experiments are reported that investigate the effects of saccadic bilateral eye movements on the retrieval of item, associative, and contextual information. Experiment 1 compared the effects of bilateral versus vertical versus no eye movements on tests of item recognition, followed by remember-know responses and associative recognition. Supporting previous research, bilateral eye movements enhanced item recognition by increasing the hit rate and decreasing the false alarm rate. Analysis of remember-know responses indicated that eye movement effects were accompanied by increases in remember responses. The test of associative recognition found that bilateral eye movements increased correct responses to intact pairs and decreased false alarms to rearranged pairs. Experiment 2 assessed the effects of eye movements on the recall of intrinsic (color) and extrinsic (spatial location) context. Bilateral eye movements increased correct recall for both types of context. The results are discussed within the framework of dual-process models of memory and the possible neural underpinnings of these effects are considered. [PsycINFO]

Keywords: Bilateral Stimulation  BLS  Eye Movements  

Accuracy Verified: Yes

48. Khalfa, S. (2012, June). Effects of EMDR on cognition, psychophysiology and cerebral mechanisms in PTSD [Efectos del EMDR en cognición, psicofisiología y mecanismos cerebrales en TEPT]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Despite the emergence of many theories on biological EMDR mechanisms, research is still needed to understand the healing processes of EMDR. We conducted four experiments to explore the effects of EMDR on PTSD with 17 to 22 patients suffering from one unique trauma. The first experiment evidenced attentional bias in PTSD towards negative words that disappeared after successful EMDR Therapy. The second experiment has shown a less efficient control of emotion in PTSD as compared to healthy controls. This altered emotional suppressing measured through psychophysiological responses was restored after symptoms disappearance following EMDR. The third experiment also using psychophysiological measures confirmed the increased fear sensitization and delayed fear extinction in PTSD and again the restoration of a normal fear conditioning and extinction processes after EMDR. The last experiment explored the negative emotional cerebral mechanisms using functional magnetic resonance imagery in PTSD. Activities in prefrontal structures were modified in PTSD as compared to healthy controls. After the EMDR treatment accompanied by symptoms removal, the prefrontal responses were not different between PTSD patients and their controls. Theoretical issues of these results will be discussed in order to integrate cognitive, psychophysiological and cerebral mechanisms observations.

A pesar del emerger de muchas teorías sobre los mecanismos biológicos del EMDR, la investigación aún necesita entender el proceso de curación que se produce en EMDR. Hemos realizado 4 experimentos para explorar los efectos del EMDR en TEPT de 17 a 22 pacientes que sufrieron un único trauma. El primer experimento evidencia un sesgo atencional del TEPT ante las palabras negativas que desaparecen después de una terapia exitosa de EMDR. El Segundo experimento mostró una baja eficiencia del control de las emociones en los TEPT comparados con el control de individuos sanos. Esta alterada supresión emocional medida a través de respuestas psicofisiológicas fue restaurada después de una desaparición de los síntomas realizando EMDR. El tercer experimento también confirma mediante medidas psicofisiológicas el aumento de la sensación de miedo y un retraso en la extinción del mismo en el TEPT. De nuevo tras administrar una terapia EMDR se produjo una restauración a una condición normal de miedo y un proceso de extinción. El último experimento explica los mecanismos negativos emocionales cerebrales usando resonancia funcional magnética en TEPT. La actividad en las estructuras prefrontales fue modificada en el TEPT comparado con el control. Después del tratamiento de EMDR acompañado de una remisión de los síntomas, las respuestas prefrontales no fueron diferentes entre los pacientes con TEPT y los controles. Cuestiones teoréticas sobre estos resultados serán discutidas con el fin de integrar cognitivamente, psicofisiológicamente y observar los mecanismos cerebrales del EMDR.

Keywords: Cognition, Psychophysiology and Cerebral Mechanisms  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

49. Pastva, A. M. (2008). The effects of rhythmic and arrhythmic eye movements on memory recall. The College of William and Mary, Williamsburg, VA..

Language: English

Format: Dissertation/Thesis

Abstract:
Eye-Movement Desensitization and Reprocessing (EMDR), a therapy that treats many trauma-related disorders by requiring patients to perform rapid eye movements, has raised controversy because it lacks the support of a proven theoretical rationale. A recent theoretical explanation proposes that the eye movements reduce the vividness of the distressing images by disrupting the function of the visuospatial sketchpad (VSSP) of working memory, but support for this model has been weakened by methodological flaws that the current study attempted to overcome. The present study compared the effects of tracking rhythmic and arrhythmic stimuli on the recall of arousing television shock-ads. Eye-movement conditions did not significantly differ in terms of vividness, emotionality, or accuracy of memory as compared to the control condition. Arrhythmic targets increased the negative emotional response and decreased the vividness of the memories, but neither rhythmic nor arrhythmic target patterns produced responses that differed from the control condition. Heart rate recordings taken throughout the study did not suggest that arousal mediates the relationship between eye-movement patterns and vividness. The present study does not support the VSSP theory but provides valuable insights on the direction of future research.

Keywords: Eye  Memory  Visual perception  

Accuracy Verified: Yes

50. Kavanaugh, D. J., Freese, S., Andrade, J., & May, J. (2001). Effects of visuospatial tasks on desensitization to emotive memories. British Journal of Clinical Psychology, 40(3), 267-280. doi:10.1348/014466501163689.

Language: English

Format: Journal

Abstract:
Objectives. Intrusive memories of extreme trauma can disrupt a stepwise approach to imaginal exposure. Concurrent tasks that load the visuospatial sketchpad (VSSP) of working memory reduce the vividness of recalled images. This study tested whether relief of distress from competing VSSP tasks during imaginal exposure is at the cost of impaired desensitization. Design. This study examined repeated exposure to emotive memories using 18 unselected undergraduates and a within-subjects design with three exposure conditions (Eye Movement, Visual Noise, Exposure Alone) in random, counterbalanced order. Method. At baseline, participants recalled positive and negative experiences, and rated the vividness and emotiveness of each image. A different positive and negative recollection was then used for each condition. Vividness and emotiveness were rated after each of eight exposure trials. At a post-exposure session 1 week later, participants rated each image without any concurrent task. Results. Consistent with previous research, vividness and distress during imaging were lower during Eye Movements than in Exposure Alone, with passive visual interference giving intermediate results. A reduction in emotional responses from Baseline to Post was of similar size for the three conditions. Conclusion. Visuospatial tasks may offer a temporary response aid for imaginal exposure without affecting desensitization.

Keywords: Emotive Memories  Eye Movement  Imaginal Expsoure  Visio-Spatial  

Accuracy Verified: Yes

51. Kavanagh, D. J., Freese, S., Andrade, J., & May, J. (2001, September). Effects of visuospatial tasks on desensitization to emotive memories. British Journal of Clinical Psychology, 40(3), 267–280. doi:10.1348/014466501163689.

Language: English

Format: Journal

Abstract:
Objective. Intrusive memories of extreme trauma can disrupt a stepwise approach to imaginal exposure. Concurrent tasks that load the visuospatial sketchpad (VSSP) of working memory reduce the vividness of recalled images. This study tested whether relief of distress from competing VSSP tasks during imaginal exposure is at the cost of impaired desensitization. Design. This study examined repeated exposure to emotive memories using 18 unselected undergraduates and a within-subjects design with three exposure conditions (Eye Movement, Visual Noise, Exposure Alone) in random, counterbalanced order. Method. At baseline, participants recalled positive and negative experiences, and rated the vividness and emotiveness of each image. A different positive and negative recollection was then used for each condition. Vividness and emotiveness were rated after each of eight exposure trials. At a post-exposure session 1 week later, participants rated each image without any concurrent task. Results. Consistent with previous research, vividness and distress during imaging were lower during Eye Movements than in Exposure Alone, with passive visual interference giving intermediate results. A reduction in emotional responses from Baseline to Post was of similar size for the three conditions. Conclusion. Visuospatial tasks may offer a temporary response aid for imaginal exposure without affecting desensitization.

Keywords: Emotive Memories  Visuospatial Tasks  

Accuracy Verified: Yes

52. Lee, C. (2006, May). Efficacy and mechanisms of action of EMDR as a treatment for PTSD. Murdoch University, Perth, Australia.

Language: English

Format: Dissertation/Thesis

Abstract:
The first aim of this thesis was to describe the characteristics of Posttraumatic Stress Disorder (PTSD) and to elucidate its place as a symptom disorder that sometimes develops when people are exposed to a traumatic event. The current major theoretical approaches to account for why some people who are exposed to trauma develop PTSD and the mechanisms by which this occurs were described. Three classes of theories were reviewed: conditioning/learning approach; information processing theories with a particular focus on the meaning of the trauma event; and biological models with an emphasis on recent neurocircuitry and neurochemistry models. Successful treatment approaches were then reviewed which indicated two major contenders for the most efficacious treatment for PTSD: traditional cognitive behaviour therapies (CBT) using either stress inoculation or prolonged exposure; and eye movement desensitisation and processing (EMDR). Prior to the first study (Lee, Gavriel, Drummond, Richards, and Greenwald, 2002), a review of the literature indicated equivalent effects for EMDR and CBT. There had been very few direct comparison studies and each had serious methodological flaws, particularly with respect to random assignment and treatment fidelity. Therefore, the first study ensured adequate attention to these areas and involved a direct comparison between the two procedures using a sample of 24 participants diagnosed with PTSD. EMDR and stress inoculation training with prolonged exposure were found to lead to similar symptom improvement at the end of treatment, apart from a slight advantage for EMDR on intrusion symptoms. Both treatments led to significantly greater symptom reduction than a wait list control condition. At follow-up, EMDR led to greater gains on both self-report and observer rated measures of PTSD and self-report measures of depression. Overall, the findings were similar to those described in previously published studies, with a suggestion that EMDR was slightly more efficient than the standard CBT approach. Given that the evidence suggested that EMDR was a more efficient treatment, it became critical to understand the underlying processes. A process study was undertaken that examined the responses of people with PTSD receiving EMDR treatment (Lee, Taylor, and Drummond, 2006). Guided by process studies of other treatments and theories that might account for why EMDR is effective, participants' responses were examined to see which models better accounted for symptom improvement. The main analysis tested whether or not the responses were consistent with processes that occurred during traditional CBT treatment, which prior research had identified as reliving, or whether they were more consistent with Shapiro's proposal that enhanced information processing occurs because there is a dual focus of attention (that is, the person simultaneously focuses on an external stimulus and on the traumatic memory) (Shapiro, 1995). The responses made by 44 participants were coded by an independent rater according to whether they were primarily reliving, distancing, affect or material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement occurred when the participant processed in a more detached or distant manner, whereas reliving responses were not associated with improvement. Cross-lagged panel correlations suggested that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that co-varied with improvement. The findings underscored a difference in the processes that underlie EMDR and traditional CBT. The major question left unanswered from this second study was what causes this distancing process? Competing views were that it was facilitated by eye movement; alternatively, the therapist's instructions to participants might have precipitated this distancing phenomenon. The third study tested these ideas by randomly assigning 48 participants to either an eye movement or a no eye movement condition under two types of therapist instructions (reliving or distancing). Participants recalled personal distressing memories, and measures of distress and vividness were taken after treatment and at follow up. Only the eye movements made a significant difference to people's level of distress. This conclusion appeared at odds with some of the previous literature that had tested the effects of eye movement on levels of distress. A meta-analysis of some of this research had suggested that there was no significant advantage of including eye movement in EMDR treatment unless the person had been diagnosed with PTSD. However, a close examination of this meta-analysis indicated some major methodological flaws in the computation; therefore, this was recalculated. The conclusion from this fourth study was consistent with study three in that EMDR with eye movement was found to lead to significantly greater improvement that EMDR without eye movement. The results of these four studies were then discussed in terms of their implications for the theoretical models presented in Chapter 1. Aspects of learning theory that might account for EMDR efficiency were discussed as well as the failure of this model to account for treatment gains following EMDR. Information processing models were seen to better account for some of the phenomena observed in EMDR and for the findings from the four studies. Some suggestions of how eye movements might facilitate improved information processing were presented. Finally, the relative merits of EMDR and CBT treatments were discussed and suggestions made for when to combine approaches. The conclusions highlight the point that EMDR appears to be the most promising treatment for PTSD.

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

53. Schubert, S. (2010, July). The efficacy and psycho physiological correlates of dual-attention tasks in EMDR. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Methods: Sixty-two non-clinical participants with negative autobiographical memories received a single EMDR session that involved fixed or varied rate eye movements, or exposure without eye movements. Subjective units of distress and vividness of the memory were recorded at pre-treatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress (SUDs) than EMDR-without eye movements. Psycho physiological measures were continuously recorded throughout each session. Results: Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. Conclusion: These findings indicate that eye movements in EMDR are beneficial, and are coupled with distinct psycho physiological changes that may aid in the processing of negative memories. Implications for clinical practice, directions for future research, and the importance of building bridges between East & West whilst conducting EMDR research will also be discussed.

Keywords: Dual Attention  Poster  Physiological Correlates  

Accuracy Verified: Yes

54. Schubert, S. (2010, July). The efficacy and psychobiological correlates of dual-attention task. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The study being presented aimed to investigate the psycho physiological correlates and the effectiveness of different dualattention tasks used during eye movement desensitisation and reprocessing (EMDR). Sixty-two non-clinical participants with negative autobiographical memories received a single EMDR session that involved fixed or varied rate eye movements, or exposure without eye movements. Subjective units of distress and vividness of the memory were recorded at pretreatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress (SUDs) than EMDR-without eye movements. Psycho physiological measures were continuously recorded throughout each session. Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. These findings indicate that eye movements in EMDR are beneficial, and are coupled with distinct psycho physiological changes that may aid in the processing of negative memories. Implications for clinical practice, directions for future research, and the importance of building bridges between East & West whilst conducting EMDR research will also be discussed.

Keywords: Dual Attention  Psychophysiological Correlates  

Accuracy Verified: Yes

55. Schubert, S. J., Lee, C. W., & Drummond, P. D. (2011, January). The efficacy and psychophysiological correlates of dual-attention tasks in eye movement desensitization and reprocessing (EMDR). Journal of Anxiety Disorders, 25, 1-11. doi:10.1016/j.janxdis.2010.06.024.

Language: English

Format: Journal

Abstract:
This study aimed to investigate the psychophysiological correlates and the effectiveness of different dual-attention tasks used during eye movement desensitization and reprocessing (EMDR). Sixty-two non-clinical participants with negative autobiographical memories received a single session of EMDR without eye movements, or EMDR that included eye movements of either varied or fixed rate of speed. Subjective units of distress and vividness of the memory were recorded at pre-treatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress than EMDR-without eye movements. Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. Findings indicate that the eye movement component in EMDR is beneficial, and is coupled with distinct psychophysiological changes that may aid in processing negative memories.

Keywords: Eye Movements  Autobiographical Memory  Psychophysiology  Orienting Response  

Accuracy Verified: Yes

56. Shapiro, F., & Laliotis, D. (2011, June). EMDR and the adaptive information processing model: Integrative treatment and case conceptualization. Clinical Social Work Journal, 39(2), 191-200. doi:10.1007/s10615-010-0300-7.

Language: English

Format: Journal

Abstract:
EMDR is a comprehensive psychotherapy approach that is compatible with all contemporary theoretical orientations. Internationally recognized as a frontline trauma treatment, it is also applicable to a broad range of clinical issues. As a distinct form of psychotherapy, the treatment emphasis is placed on directly processing the neurophysiologically stored memories of events that set the foundation for pathology and health. The adaptive information processing model that governs EMDR practice invites the therapist to address the overall clinical picture that includes the past experiences that contribute to a client’s current difficulties, the present events that trigger maladaptive responses, and to develop more adaptive neural networks of memory in order to enhance positive responses in the future. The clinical application of EMDR is elaborated through a description of the eight phases of treatment with a case example that illustrates the convergences with psychodynamic, cognitive-behavioral, and systemic practice.

Keywords: Adaptive Information Processing  AIP  Integrative Treatment  Memory Networks  

Accuracy Verified: Yes

57. DiGiorgio, K. E., Arnkoff, D. B., Glass, C. R., Lyhus, K. E., & Walter, R. C. (2004, September). EMDR and theoretical orientation:  A qualitative study of how therapists integrate eye movement desensitization and reprocessing into their approach to psychotherapy. Journal of Psychotherapy Integration, 14(3), 227-252. doi:10.1037/1053-0479.14.3.227.

Language: English

Format: Journal

Abstract:
This study examined how 3 therapists from differing theoretical orientations (psychodynamic, humanistic, and cognitive–behavioral) integrate eye movement desensitization and reprocessing (EMDR) into their work with clients. The consensual qualitative research method was used to analyze interview responses from each of the therapists. All of the therapists deviated from the standard EMDR protocol to some degree, and their decisions to either add to or leave out various aspects of the protocol were greatly influenced by their theoretical orientation. They reported that the integration of EMDR into their usual therapy styles varied depending on their clients. The present study expands on previous psychotherapy integration research because it provides detailed descriptions as to how therapists actually use a specific method with clients. Findings may be particularly useful for researchers and therapists interested in the practice of EMDR, as well as the process of assimilative integration.

Keywords: Assimilative Integration  Cognitive Behavior Therapy  Cognitive-Behavioral Therapy  Empirical Study  Humanistic Psychotherapy  Integrative Psychotherapy  Humanistic Therapy  Psychodynamic Psychotherapy  Psychodynamic Therapy  Psychotherapeutic Processes  Psychotherapy Integration  Qualitative Study  Treatment Outcomes    

Accuracy Verified: Yes

58. Eimer, B. N. (1995, June). EMDR applications for pain management. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The focus of this 3-hour workshop will be on using EMDR to alleviate emotional distress attendant to coping with acute physical pain and living with chronic pain. Participants in this workshop will learn: (a) how to conduct a targeted assessment of the patient whose chief complaint is physical pain; (b) a guided pain healing meditation; (c) an EMDR protocol for installing pain relief imagery and self-care techniques; (d) an EMDR protocol for reprocessing covert pain talk, pain behaviors and pain-related memories; (e) how to apply A.J. Popky's EMDR protocol for reducing substance abuse (i.e., Overeating, drinking) and dependence on pain medication in this population. The presentation will first address how to conduct a structured assessment that identifies targets for EMDR treatment. The dysfunctional information package associated with chronic pain (termed the "biogram")and "seven keys" to understanding chronic pain will be discussed. Then, essential principles for designing an effective individual psychotherapy program for the pain sufferer will be presented. Next, use of the "seven keys for constructing a guided healing meditation (i.e., Self-care technique) for the pain patient that also incorporates Francine Shapiro's "light stream" and "spiral" guided meditations will be demonstrated. A script for this, termed the "C.O.M.P.I.S.S. Pain Healing Meditation," will be distributed. The workshop will then address how to introduce EMDR to the patient whose chief complaint is physical pain. What EMDR can do and probably cannot do for pain patients will then be discussed. Next, principles for choosing an initial tarqet for reprocessing will be discussed. The presentation will then cover (with clinical case examples): (1) Red flags and cautions to consider before proceeding with EMDR- (2) What to do and what not to do if the patient is dissociative; (3) How to "mirror" and install with EMDR empathic responses to underlying beliefs associated with "secondary gains" minus primary losses; (4) Teaching the distinction between pain sensations and suffering; (5) How to teach and install with EMDR self-care and pain coping techniques such as pain relief imagery, mental distraction techniques, safe place imagery, and positive motivation for healthy self-care behaviors; (6) How to directly address with the patient the application of "cognitive psychology" and imagery for pain reduction; (7) EMDR reprocessing of memories around the pain's origins; (8) EMDR reprocessing of pain-related conflicts, negative beliefs, negative past experiences, internalized self-identifications, self-punitive tendencies and self-defeating behaviors; (9) Eliciting core negative pain coping cognitions and suggesting preferable positive cognitions to the pain patient; (10) EMDR reprocessing of negative cognitions associated with depression and anxiety. (11) Use of EMDR to facilitate mental rehearsal of coping responses to pain triggers; (12) Material that often comes up in using EMDR with pain patients; (13) Strategically restructuring patient "resistance" with coanitive interweave; (14) Managing narcotic and pain medication seeking behavior and substance abuse; (15) Use of Popky's EMDR protocol for reducing medication dependence and substance abuse in this population; (16) Treating pain patients who also have PTSD. Videotaped case excerpts will be shown that illustrate important points covered. If time permits, participants may be able to briefly discuss EMDR applications to specific medical and pain patient populations.

Keywords: Chronic Pain  Pain  Pain Management  

Accuracy Verified: Yes

59. Leeds, A. (2011, August). EMDR Case Conceptualization and Treatment Planning: How AIP leads to divergent strategies in different cases. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Many clinicians seek guidance with case formulation and predicting responses to EMDR reprocessing. This presentation integrates the AIP Model with adult attachment classification. Case examples illustrate clinical strategies for assessing attachment classification as a foundation for case formulation. This presentation proposes a symptom informed approach for cases with an Axis I focus – PTSD, depression, specific phobias and panic – from parallel models of de Jongh (2010), Korn (2004) and Leeds (2004, 2009). Criteria from Korn (2004, 2009), Leeds (2009) and Hofmann (2004, 2005) indicate when to consider containing and deferring reprocessing early life experiences in complex cases – personality disorders and complex PTSD.

Keywords: Adult Attachment  

Accuracy Verified: Yes

60. Leeds, A. M. (1995, June). EMDR case formulation symposium. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The focus of this symposium will be on intermediate and advanced topics in EMDR case formulation in more challenging cases. The presentation will include how affect and schema theories can help organize and guide treatment planing and selection of protocols, targets and cognitions. Time will be allowed to discuss problem cases. The symposium will begin with an overview of the EMDR theoretical model and the role of metacognitions in the accelerated information processing paradigm. Guideposts to application will include principles such as: good enough cognitions and warning indicators fiom cognitions and the history taking of potential blocked responses. A model of EMDR case formulation issues will be presented involving treatment planning and selection of protocols, targets and cognitions. A fundamental issue in case formulation will be proposed as the extent to which the case involves simple adult trauma with a good premorbid history or is a more complex case conceptualized as involving some degree of neglect or pervasive failure of the early environment to provide healthy models of self-other interaction. Alternate treatment protocols will be offered for more complex cases presentations where there are insufficient healthy resources present to permit the successfull use of standard EMDR protocols even with creative application of cognitive interweave strategies. Protocols will be offered for "practice" EMDR sessions and for building up healthy internal resources in advance of targeting disturbing memories. Affect theory as developed by Silvan S. Tomkins and reviewed in Donald Nathanson's (1992) Shame and Pride, Affect Sex, and the Birth of the Self, W. W. Norton & Co, New York, and its relationship to EMDR will be considered. Emphasis will be on the biological theory of emotions, the nine innate affects, the central and unique role of shame in human development, and how affect theory supports EMDR theory and application. For example, EMDR theory emphasizes the central role of physiological and emotional responses and views cognitions as "distallations of experience" (Francine Shapiro, 1995, Eve Movement Desensitization and Reprocessing, Basic Principles, Protocols, and Procedures, Guilford Press, NY). Shame and its attendant distorted self concepts is a central problem in PTSD and other pervasive traumageric disorders. Aspects of this case formulation approach have been influenced by members of the EMDR facilitator staff most notably Landry Wildwind's speciality and conference presentations on working with chronic depression and personal communications with Marguerite McCorkle. Case examples will be given in which alternate EMDR protocols were used to successfully work through unresolved developmental issues and massive layers of shame that had blocked previous treatment efforts. A large portion of the symposium will be devoted to a case conference round table where these issues will be explored through a discussion of problem cases offered by participants.

Keywords: Case Formulations  

Accuracy Verified: Yes

61. McDonald, H. (2010, March). EMDR chronic pain protocol. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Persistent pain is common in people who have experienced trauma; and persistent pain also leads to trauma responses. This workshop will focus on using the Pain Protocol (Grant and Threlfo, 2002), using a practical approach to clinical work with clients. The pain protocol is based on the Adaptive Information Processing model, (Shapiro 1995), and takes into account the overlap between the experience of pain and traumatic experiences. It is expected that participants not necessarily have experience of working specifically on pain using EMDR with clients. An increasing body of evidence suggests that using the EMDR Pain Protocol can be effective in three main ways: • Reducing the experience of pain; • Targeting pain memories and • Overcoming the impact of pain on the individual. The application of the protocol assumes that it is possible to influence neurological pathways involved in maintaining persistent pain messages. The workshop will include a brief overview of research evidence and current clinical experience, and will primarily focus on practical applications. This will include working with imagery in specific ways relevant to working with people in pain; and discussion of case examples. At the end of the workshop, it is hoped that participants have increased confidence in working with people who have pain; having practiced elements of the protocol and discussed their implications for clinical practice.

Keywords: Chronic Pain  Protocol  

Accuracy Verified: Yes

62. Beer, R., & Hornsveld, H. (2005, November). EMDR en Eetstoornissen: Conceptualisatie en klinische toepassingen [EMDR and eating disorders: Conceptualisation and clinical applications]. Presentatie aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Renee Beer en Hellen Hornsveld bespreken in deze presentatie toepassingsmogelijkheden van EMDR bij patiënten met uiteenlopende eetstoornissen. Eerder is over dit onderwerp gepresenteerd door beide spreeksters op een EMDR Netwerkavond in 2004 en op het Europese EMDR congres in 2005.
Samenvatting Patiënten met Eetstoornissen (Anorexia Nervosa, Bulimia Nervosa, Binge eating disorder) krijgen doorgaans een multidisciplinaire behandeling, waarin verschillende modules een complementaire rol spelen. Resultaten zijn echter vaak teleurstellend en daarom zijn nieuwe ideeën en technieken welkom. Mogelijkheden en beperkingen van EMDR in combinatie met Cognitieve Gedragstherapie (C.G.T.) worden besproken en geïllustreerd met videobeelden.
Renee Beer zal toelichten en demonstreren -hoe EMDR geplaatst kan worden in de context van C.G.T., -waarom het aantrekkelijk is voor adolescenten (“een coole combi”), -welke targets in aanmerking kunnen komen (o.a. traumaverwerking, lichaamsbeeld en zelfbeeld), -hoe deze targets bewerkt kunnen worden, -en wanneer in het behandelingsproces EMDR in aanmerking komt.
Hellen Hornsveld zal vervolgens haar ervaringen presenteren met een eigen protocol ter behandeling van eetbuien en eetdrang. Dit protocol is voortgekomen uit de observatie dat patiënten vaak heftige, negatieve emoties vertonen tijdens cue exposure. Cue exposure is een gedragstherapeutische techniek, waarbij de patiënt blootgesteld wordt aan de prikkels die doorgaans een eetbui uitlokken (geur, smaak,aanwezigheid van “verboden” voedsel) zonder dat de eetbui daarbij plaats mag vinden (responspreventie). De procedure is gericht op het laten uitdoven van de fysiologische reacties op de eetbui prikkels (Jansen, 1997). Op de inhoud van de reacties en de emotionele betekenis die geassocieerd is met het eten, wordt verder niet ingegaan. De EMDR variant van dit protocol is juist gericht op de betekenisverlening en het creëren van een zo hoog mogelijke emotionele lading (“balletje op de berg”) door zoveel mogelijk het EMDR protocol te volgen. Positieve ervaringen met dit protocol zullen aan de hand van videomateriaal worden gedemonstreerd.


Renee Beer and Hellen Hornsveld in this presentation discuss applications of EMDR in patients with various eating disorders. This issue was presented by speakers at an Evening Both EMDR Network in 2004 and the European EMDR conference in 2005.
Summary Patients with Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, binge eating disorder) tend to have a Multidisciplinary treatment, a complementary role Which modules. Results in loss or are disappointing and therefore welcome new ideas and techniques. Possibilities and limitations of EMDR in combination with cognitive behavioral therapy (CBT) are discussed and illustrated with videos.
Renee Beer will demonstrate and explain -How EMDR Can Be Placed in the context of CBT, -Why is it Attractive for adolescents ("a cool combination) Targets, Which Are Eligible (e.g. trauma, body image and self-image) How-thesis targets Can be edited And when in the process of EMDR treatment is Eligible.
Hellen Horn Field Will then present experiences with ITS ITS own protocol for the treatment of binge eating and eetdrang. This protocol is derived from the observation That Patients in loss or intense negative emotions show consistently cue exposure. Cue exposure is a behavioral technique in Which the patient is Exposed to the stimuli That Provoke Normally a binge (smell, taste, presence of "forbidden" foods) without taking the binge Which Should Be (response prevention). The procedure is aimed at gradually between the physiological responses to the binge stimuli (Jansen, 1997). The content of the emotional responses and Significance associated with the food is not Considered Further. The EMDR variant of this protocol is very focused on the perspectives and Creating the Highest Possible emotional charge (ball on the Mountain ") as much as Possible, the EMDR protocol to follow. Positive experience with this protocol using Will Be video material locally.

Keywords: Eating Disorders  

Accuracy Verified: Yes

63. Garcia, F. (2011, Julio). EMDR en el tratamiento del dolor crónico [EMDR treatment and chronic pain]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España.

Language: Spanish

Format: Conference

Abstract:
El modelo de intervención psicoterapéutica EMDR integra elementos de distintas escuelas de psicoterapia, haciendo de este acercamiento una herramienta eficaz aplicable a una enorme variedad de patologías y accesible a terapeutas de distintas orientaciones dentro de una serie de protocolos estandarizados (Van der Kolk, B., 1997). Es el caso del dolor crónico, donde EMDR ha desarrollado un protocolo específico para el tratamiento del mismo. La comprensión científica del dolor va evolucionando rápidamente. Antes se pensaba que su presencia implicaba únicamente la existencia de un daño físico, sin embargo, actualmente la ciencia nos ha llevado a descubrir la importancia que tienen las consecuencias de la vivencia del dolor. Porque el dolor genera importantes reacciones emocionales que pueden potenciar el sufrimiento que lleva asociado (García, J.A. 2009). Desde el modelo de procesamiento de la información, el dolor puede concebirse como una señal de que hay algo que no va bien, independientemente de la multifactorialidad de su etiología. Sin embargo, el dolor puede continuar a veces más de lo que puede ser funcional. En este sentido, el dolor a largo plazo puede conducir a cambios en el sistema nervioso, que pueden cronificar el dolor o intensificarlo. Según el modelo de procesamiento adaptativo de la información desde el que trabaja EMDR, el dolor se mantiene porque "se trabó" en el sistema nervioso, se dio un bloqueo de la información en la red de memoria somática. El EMDR se presenta como una herramienta eficaz para tratar el dolor, de manera que es un medio de estimular el sistema nervioso para ayudarle a la persona cambiar las respuestas al dolor. En esta comunicación se presenta la conceptualización y tratamiento del dolor crónico desde esta perspectiva a través de la presentación de un caso.

The EMDR intervention model integrates various elements schools of psychotherapy, making this an effective approach applicable to a huge variety of pathologies and accessible to therapists of different orientations within a set of standardized protocols (Van der Kolk, B., 1997). This is the case chronic pain, where EMDR has developed a specific protocol for the treatment of same. Scientific understanding of pain is evolving rapidly. before you thought his presence meant only the existence of a physical injury, without But now science has led us to discover the importance of consequences of the experience of pain. Because pain reactions generates significant can enhance emotional suffering associated with it (Garcia, JA 2009). From the model of information processing, the pain can be conceived as a sign that something is wrong, regardless of the multifactorial in its etiology. However, the pain can sometimes continue more than which may be functional. In this regard, the long-term pain can lead to changes in the nervous system, which can become chronic pain or intensify. According to the model of adaptive processing of information from which EMDR works, the pain maintains that "locked" in the nervous system, there was an information blockade in somatic memory network. The EMDR is presented as an effective tool for treating pain, so that is a means to stimulate the nervous system to help the person changing responses to pain. This communication presents the conceptualization and treatment of pain chronic from this perspective through the presentation of a case.

Keywords: Chronic Pain  Symposium  Treatment  

Accuracy Verified: Yes

64. Fizel, D., Shapiro, F., Borderson, G., & Frank-NcNeil, J. (1997). EMDR for trauma (eye movement desensitization and reprocessing). Washington, DC: American Psychological Association.

Language: English

Format: Video

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is an approach that combines elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although eye movement stimulation has garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions which are organized into eight phases of therapy. EMDR is based on the assumption that specific experiences from the past continue to guide the client's responses in the present. To influence such experiences from the past, EMDR draws on an information processing model of behavior. Disturbing trauma-related information is believed to be held in the patient's nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information so that what is useful from the experience can be learned; stored appropriately, cognitively and affectively; and made available for behavioral guidance in the future. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. The goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable. [Videorecording : DVD video 1 videodisc (53 min.) : sd., col. ; 4 3/4 in.]

Keywords: Trauma  

Accuracy Verified: Yes

65. Shapiro, F., & Broderson, G. (1997). EMDR for trauma: Eye movement desenitization and reprocessing. Washington, DC: American Psychological Association.

Language: English

Format: Video

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a complex treatment approach that combines salient elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although the eye movement stimulation (and other forms of dual stimulation used in the approach) have garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions, which are organized into eight phases of therapy. Currently, 13 completed controlled studies of EMDR make it one of the most researched methods of psychotherapy used in the treatment of trauma. Its efficacy has been supported by these studies: the four most recent studies of victims who have suffered single traumas have demonstrated that after the equivalent of three 90-minute sessions, 84% to 90% of patients no longer have symptoms of posttraumatic stress disorder (PTSD; Rothbaum, 1997; Wilson, Becker, & Tinker, 1995).
EMDR is based on the assumption that specific experiences from the past continue to guide the client`s responses in the present. These experiences can be the "big T" traumas that result in PTSD or the "small t" traumas that are the ubiquitous experiences known to have a less dramatic but still negative impact on personality and behavior.
To influence such experiences from the past, EMDR draws on an information processing model of behavior. Conceptually, disturbing trauma-related information is believed to be held in the patient`s nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information in an adaptive fashion so that what is useful from the experience can be learned; stored appropriately, cognitively, and affectively; and made available for behavioral guidance in the future. What is useless to adaptation, such as excess negative emotions, irrational self-assessments, and disturbing physical sensations, can be discarded.
Assessment is focused not on global diagnoses but rather on specific delineations of problematic behaviors, attitudes, and affects that need to be transmuted to allow for adaptive resolution of trauma or conflict. Specifically, the EMDR clinician asks, what is the patient being influenced by past experiences to do in the present that is dysfunctional and what is he or she prevented from doing that would be adaptive?
Although originally applied to PTSD, EMDR shows promise in a variety of clinical complaints that are based on earlier life experiences that underlie the pathology and current experiences and that restimulate the disturbance. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. In all cases, the goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable.
EMDR as an eight-phase intervention approach can be considered a complete treatment in some clinical cases, or it may be part of a more complex treatment plan that includes other more traditional approaches to treating a specific pathology (e.g., borderline personality disorder). Within this latter integrative context, EMDR appears to be useful for a broad range of clinical complaints and seems to provide more rapid achievement of positive treatment effects than do these more traditional approaches alone.
Dr. Shapiro identifies her approach as "eye movement desensitization and reprocessing." What does this imply to you? More specifically, what do you expect of her? Will Dr. Shapiro be active or passive? Will the session be structured or unstructured? Directive or nondirective? Will it focus on the past or on the present? Will the session focus on behaviors, on thoughts, or on feelings? What do you expect to be the relative balance between attention to technique versus the interpersonal interaction?

Keywords: Client  Francine Shapiro  Male  

Accuracy Verified: Yes

66. Poon, Wai-Ling, M. (2012). EMDR in competition with fate: A case study in a Chinese woman with multiple traumas. Case Reports in Psychiatry, 2012, 1-4. doi:10.1155/2012/827187.

Language: English

Format: Journal

Abstract:
This paper described the application of eye movement desensitization reprocessing (EMDR) for addressing the posttraumatic stress disorder (PTSD) symptoms in a Chinese woman who had experienced multiple traumas in her childhood. EMDR is an integrative therapeutic intervention that uses a standardized eight-phase approach to treatment. It is also a proven, effective, and efficient treatment for trauma. In this client with multiple traumas, the etiological event that lay the foundation of her dysfunctional responses was reprocessed first. The successful resolution of this event allowed the positive treatment effects to transfer to other traumatic events of a similar theme. This case also illustrates the importance of identifying a culturally appropriate positive cognition (PC) in contributing to the success of the treatment.

Keywords: Case Study  China  Trauma  Woman  

Accuracy Verified: Yes

67. Hofmann, A., & Solomon, R. (2009). EMDR in der behandlung akut traumatisierter [EMDR in the treatment of acutely traumatized]. In A. Hofmann, N. Galley, & R. A. Solomon, EMDR – Therapie psychotraumatischer Belastungssyndrome, 2 Tabellen, (4., unveränd. Aufl.) (pp 107-114 ) Stuttgart: Georg Thieme Verlag KG.

Language: German

Format: Book Section

Abstract:
Mit den zunehmenden Erfahrungen und Forschungsergebnissen im Bereich psychotraumatischer Reaktionen gelangte in den Jahren nach der Entwicklung der Konzepte über die chronischen traumatischen Störungen auch der Bereich der akuten Traumatisierungen in das Blickfeld systematischer Studien und Interventionsversuche. So wurden zunehmend diagnostische und therapeutische Konzepte entwickelt, in denen versucht wird, Opfern von z. B. krimineller Gewalt, schweren Unfällen oder kritischen Zwischenfällen im polizeilich/militärischen Bereich bereits kurz nach den traumatischen Ereignissen hilfreich zur Seite zu stehen und – wenn möglich – sogar die Entwicklung schwerer Störungen zu verhindern. Als günstig erwies sich dabei, dass sich die Mehrzahl der Opfer akuter Traumatisierungen innerhalb einer Zeit von mehreren Wochen bis Monaten ohne äußeres therapeutisches Eingreifen spontan erholen und das Ereignis seelisch bewältigen können (Rothbaum u. Foa 1993). Als problematisch zeigte sich aber einerseits die Vielfalt möglicher Symptome direkt nach einem traumatischen Ereignis, andererseits der zunehmende Übergang in eine posttraumatische Symptomatik (aber auch andere) bei einer meist kleineren Gruppe der Traumatisierten (Orner u. Schnyder 2003). Forscherische und therapeutische Bemühungen versuchen derzeit, die Gruppe der Traumaopfer, die ein erhöhtes Risiko haben könnten, später eine posttraumatische Störung zu entwickeln, zu identifizieren und ihnen – wenn möglich – schon frühzeitig gezielt Hilfe zukommen zu lassen. Auf der anderen Seite wird so versucht, die Traumaopfer, bei denen eine Bewältigung des traumatischen Ereignisses ohne spezifische therapeutische Hilfe erwartet werden kann, nicht unnötig zu pathologisieren, ihnen aber ausreichend Unterstützung und Hilfe zu gewähren, sodass sie den Verarbeitungsvorgang ohne äußere Irritationen abschließen können (Fischer et al. 1998). Diese diagnostischen und therapeutischen Forschungen sind derzeit noch in vollem Gange, gesicherte Forschungsergebnisse liegen bisher nur in wenigen Bereichen der Behandlung akuter Traumatisierungen vor (Barre u. Biesold 2002, Orner u. Schnyder 2003, Yehuda 1998). Dennoch liegen bereits Modellrechnungen der Kostenträger vor, die belegen, dass frühe, fundierte Interventionsansätze bei akut Traumatisierten (z. B. Überfallopfern) erhebliche Kosteneinsparungen der Kostenträger bewirken (Wiessmann 2002). Angesichts der großen Zahl der täglich bei schweren Unfällen oder Verbrechen akut traumatisierten Menschen, die derzeit mit einer Vielzahl empirisch wenig validierter Konzepte behandelt werden müssen, wird der hohe Handlungsdruck einerseits, die Einschränkung vieler der folgenden Anhaltspunkte für therapeutische Intervention andererseits, deutlich. Auch Hinweise und Empfehlungen bezüglich eines Einsatzes der EMDR-Methode bei diesen Patienten sollten mit diesen Einschränkungen verstanden werden. Auch wenn es einige erste Hinweise auf einen erfolgversprechenden Einsatz der EMDR-Methode bei akut Traumatisierten gibt, so sollte eine Therapie mittels EMDR in einen umfassenden, z. B. dynamisch-behavioralen, Behandlungsplan dieser Patienten eingebettet werden (Bisson 2003, McNally u. Solomon 1999). Weiterhin sollte der systematische Einsatz der EMDR-Methode derzeit – wenn irgend möglich – an hohen Qualitätsstandards orientiert und forschungsmäßig evaluiert werden, um die Nutzen-Risiko-Abwägung bezüglich bestimmter Patientengruppen sowie den optimalen Einsatzzeitpunkt konfrontierender Verfahren systematisch verbessern zu können.

With increasing experience and research results in the field of psycho-traumatic Responses came in the years after the development of concepts about the chronic traumatic disorders, the area of acute trauma in the field of view systematic studies and intervention trials. Thus, more diagnostic and therapeutic concepts developed in which attempts are is, for example, victims of criminal violence, serious accidents or critical incidents the police / military shortly after the traumatic events to help Page is available and - if possible - even the to prevent development of severe disorders. Proved to be favorable, that the Most of the victims of acute trauma in a period of several weeks to months without an external therapeutic intervention spontaneously recover and cope with the emotional event can (Rothbaum and Foa 1993). One problem was but one part of the Variety of possible symptoms immediately after a traumatic event, on the other hand, the increasing Transition to a post-traumatic symptoms (And others) usually at a smaller group of traumatized (and Orner Schnyder 2003). Research and therapeutic efforts currently trying the group of trauma victims, an increased risk could later to develop post-traumatic disorder to identify them and - if possible - early to be targeted to come help. On the other hand, will attempt to Trauma victims, where a managing traumatic event without specific therapeutic Assistance can be expected not unnecessarily pathologization them but enough to provide support and assistance so that they the processing operation without external irritation can conclude (Fischer et al. 1998). These diagnostic and therapeutic research are still in full swing, secured Research results are presently available in few areas of acute trauma and before (Barre and Biesold 2002, Orner Schnyder 2003, Yehuda 1998). Nevertheless, there are already Model calculations of the cost modes, in the Demonstrating that early, in-depth intervention approaches in acute trauma (such as assault victims) significant cost savings for payers cause (Wiesmann 2002). Given the high volume of daily at serious accidents or crimes acutely traumatized People currently with a variety empirically validated concepts treated less must be the high pressure to act one hand, the restriction of many of the following Indications for therapeutic intervention on the other, significantly. Also advice and recommendations regarding of using the EMDR method in these patients should understand these limitations be. Although there are some initial indications a promising application of EMDR method in acutely traumatized people are so should be a therapy using EMDR in a comprehensive, such as dynamically-behavioral, treatment plan these patients are embedded (Bisson 2003, McNally and Solomon 1999). Furthermore, should be the systematic use of the EMDR method now - if possible - to high Quality standards and research-oriented terms is assessed to the benefit / risk ratio with respect to specific patient groups and the optimal use time of confrontational Method to improve systematically.

Keywords: Trauma  

Accuracy Verified: Yes

68. Lister, D. (2002). EMDR in the context of general medical practice in the UK:  4 case reports. The EMDR Practitioner. Retrievedfrom http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
Editorial note: This interesting article describes the use of EMDR in a very time-pressured general practice surgery. The description of the use of EMDR is unorthodox and must be considered anecdotal, especially the second case report. If readers have any comments on the descriptions given, please contact the editor. All responses to this article will be published on the emails to the editor page. [Editor] Abtract: Some EMDR cases that the author has conducted have taken long sessions outside of normal surgery hours, but a few have reached a successful conclusion within or nearly within the seven and a half minutes allocated to a GP consultation. Four such cases are reported here.[Author abstract]

Keywords: Case Study  Medical Practice  

Accuracy Verified: Yes

69. MacDonald, H. (2010, March). EMDR pain control. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland .

Language: English

Format: Conference

Abstract:
Persistent pain is common in people who have experienced trauma; and persistent pain also leads to trauma responses. This workshop will focus on using the Pain Protocol (Grant and Threlfo, 2002), using a practical approach to clinical work with clients. The pain protocol is based on the Adaptive Information Processing model, (Shapiro 1995), and takes into account the overlap between the experience of pain and traumatic experiences. It is expected that participants not necessarily have experience of working specifically on pain using EMDR with clients. An increasing body of evidence suggests that using the EMDR Pain Protocol can be effective in three main ways: • Reducing the experience of pain; • Targeting pain memories; and • Overcoming the impact of pain on the individual. The application of the protocol assumes that it is possible to influence neurological pathways involved in maintaining persistent pain messages. The workshop will include a brief overview of research evidence and current clinical experience, and will primarily focus on practical applications. This will include working with imagery in specific ways relevant to working with people in pain; and discussion of case examples. At the end of the workshop, it is hoped that participants have increased confidence in working with people who have pain; having practiced elements of the protocol and discussed their implications for clinical practice.

Keywords: Pain Control  

Accuracy Verified: Yes

70. Guedalia, J., & Yoeli, F. (2006, August). EMDR protocols for ER and wards. Electronic Journal, EMDR-Israel. Retrieved from http://www.emdr.org.il/dls/emergency/Mador%20Herum.Brief%20P.ER%20PROTOCOL.Gudalia.doc 6/13/2008.

Language: English

Format: Other

Abstract: When the patient is showing dissociative responses to the trauma, hysterical paralysis, fugue-like state, we don’t attempt EMDR. As the Patients are usually in the ER for many many hours (5-8) opportunities present themselves to assess the patients ability to communicate by various means. The EMDR-ER© Protocol is used with patients who do not seem able to move on to the ambulatory staging area (are still on gurney’s) and display difficulty in being able to re-assume normal- appropriate with the situation- physical and psychological, behavioral function Also EMDR is not used in the ER with patients who seem to have below borderline intelligence. I have used EMDR in the ER with patients whose language I didn’t know (Amharic for example), with an interpreter present with good results.

Keywords: ER  Recent Events  Wards  

Accuracy Verified: Yes

71. Tormey, M. E. (2003, May). EMDR treatment of children and adolescents with school refusal in the outpatient setting: The role of trauma resolution, imaginal exposure and in vivo desensitization and reprocessing resulting in student reintegration to the classroom. In EMDR with children and adolescents. Symposium conducted at the annual mmeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
School refusal behavior is defined as a child-motivated refusal to attend school, or difficulties remaining in school for the entire day. As a heterogeneous condition, it can encompass aspects of phobic-type responses or separation anxiety disorder. This condition interferes with the child’s development as it impacts upon academic performance, family and peer relationships in the short-term realm. Long-term effects may include fewer employment and educational opportunities, as well as the development of psychiatric sequelae. This presentation will describe the use of EMDR as a comprehensive treatment for the child or adolescent with school refusal. Case presentations will describe assessment of the problem, with treatment of targets in the individual child or as part of a family systems intervention. Highlights will be placed on the rapid resolution of school refusal behaviors through the processing of traumatic incidents, versus those conditions requiring a more extended and extensive treatment program. The creative implementation of in vivo EMDR will be described in the successful classroom reintegration of two students [Author abstract]

Keywords: Adolescents  Children  Imaginal Exposure, In Vivo Desentization, Outpatient Setting  School Refusal  Student Reintegration  Symposium  

Accuracy Verified: Yes

72. Jacobs, S., Rackowitz, M., Strack, M., & de Jongh, A. (2009). EMDR und biofeedback in der behandlung der posttraumatischen belastungsstorung - Erweiterung der evaluation des neuropsychotherapeutischen behandlungsprogramms [EMDR and biofeedback in the treatment of post traumatic stress disorder - extension of the evaluation of the neuropsychological treatment program]. In S. Jacobs, (Hrsg.), Neurowissenschaften und Traumatherapie. Grundlagen und Behandlungskonzepte [Neurosciences and Trauma Therapy, Bases and treatment approaches] (pp. 51-81). Göttingen: Universitätsverlag.

Language: German

Format: Book Section

Abstract: In the year (2007) the manual of the neuropsychotherapeutic intervention program EMDR and biofeedback in the therapy of posttraumatic stress disorder by Jacobs and de Jong was published. The therapeutic concept based on new neuroscienctific findings, which declare a dissociation of implicit and explicit traumamemory as one reason for emergence a PTSD. On this background the treatment program integrates selective modules. The allocation of information carried out by an educational movie for patients, specific cognitive-behavioural intervention techniques, which are supplemented by biofeedback-supported Eye Movement Desensitisation and Reprocessing (EMDR). During the treatment the skin conductance (electrodermal activity), which is a stress parameter, is mesured. This program was already evaluated in the pilot-study. The patient pool could be enlarged, so that 28 patients were available for the evaluation. Additionally the educational movie was examined on efficiency. The total feedback was positive. After therapy-end the PTSD-symptomatology decreased consistently (demp=2.48), as well as the psychological stress in another problem areas (demp=1.30). Moreover the EMDR-method achieved objective a significant decrease of the autonomic arousal (demp=.79) and subjective an explicit reduction of the felt stress (demp=2.40), while growth of the coherence of a worked out positive cognition (demp=2.52). Three- and 12-month follow-up analysis could demonstrate the stability and sustainability of the changes. The intervention program EMDR and biofeedback was also proved to be efficient ( 19 sessions) and effective (demp=1.39) in the enlarged sample, with high

Keywords: Biofeedback  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

73. Kennert, G. (2008). EMDR und biofeedback in der behandlung von posttraumatischen belastungsstörungen [EMDR and biofeedback in the treatment of post traumatic stress disorder]. Forum Psychotherapeutische Praxis, 8(1), 45-46. doi:10.1026/1860-7357.8.1.45b.

Language: German

Format: Journal

Abstract: rezensiert von Gabriele Kennert, In dem von Stefan Jacobs und Anna de Jong vorgestellten Behandlungskonzept werden die kognitive Verhaltenstherapie, das EMDR-Verfahren sowie Biofeedback miteinander kombiniert, um die Angstreaktion im Rahmen traumatisierender Erinnerungen zu verringern bzw. zu hemmen und somit auch die Symptomatik der posttraumatischen Belastungsstörung abzubauen. Im ersten Teil des Buches gehen die Autoren eingehend auf den theoretischen Hintergrund (Neurophysiologie, Hirnfunktionen) ein, die mit der neuronalen Bahnung von traumatisierenden Erinnerungen einhergehen. Hierbei vertreten sie die These, dass sich die neuronalen Bahnungen der Traumata nicht löschen lassen, dass sozusagen die Angstreaktion in der Amygdalaregion im Gehirn löschungsresistent ist und es somit in der Konsequenz im Therapieziel nur um die Verringerung der Angstreaktion, bzw. Hemmung der Angstreaktion gehen könne. Konkret modifizieren die Autoren innerhalb des kognitiv, verhaltenstherapeutischen Vorgehens das Modell von Ehlers und Clark, ebenso das EMDR-Verfahren von Shapiro. Das Biofeedbackverfahren nutzen die Autoren als diagnostisches Instrument, um die subjektiven Bewertungen seitens der Patienten und Patientinnen auch objektiv überprüfbar zu machen mit Hilfe der Messung der elektrodermalen Aktivität (EDA). Im zweiten Teil des Buches beschreiben sie detailliert eine wissenschaftliche Studie an 16 Patienten und Patientinnen, die an dem Behandlungsprogramm an der Universität Göttingen teilgenommen haben. Hierbei sei bei allen Patienten und Patientinnen eine signifikante positive Symptomveränderung der PTB nachzuweisen gewesen. Im weiteren Teil des Buches stellen sie ihr ausführliches Therapiekonzept und Behandlungsprotokoll vor. Es wird eingehend auf die Diagnostik (psychologische Testverfahren sowie Biofeedback eingegangen, ein wichtiger Teil ist die Informationsvermittlung sowie Stabilisierung für die Patienten und Patientinnen. Danach erfolgt die Traumabehandlung mit Konfrontation und Integration. Wert wird hierbei in Abgrenzung zu Shapiro auf die frühzeitige Verbindung zur positiven Kognition gelegt in Verbindung mit Hausaufgaben, die die Patienten zwischen den Sitzungen bekommen mit eingehenden Verhaltensübungen. Die Autoren grenzen ein, dass ihre Methode nicht für alle Patienten und Patie tinnen geeignet ist, sondern dissoziative Störungen und Persönlichkeitsstörungen sowie Suchtproblematik explizit ausgeschlossen seien. Die Stabilisierungsübungen werden praktisch beschrieben (Sicherer Ort, Tresor), ebenso die praktische Anwendung des Biofeedbackverfahrens sowie das Behandlungsprotokoll für EMDR. Gegen Ende des Bandes schließen sich Fallstudien aus der Arbeit der Autoren an, um die Praxis zu verdeutlichen. Im Anhang gibt es Adressenverzeichnisse über den Bezug von Tests, Biofeedbackgeräten oder Lehrfilmen. Zusammenfassend kann man sagen, dass der Band kurzgefasst, sehr übersichtlich und konkret sowie praxisnah das neuropsychotherapeutische Behandlungsprogramm darstellt, so dass dies hilfreich für die psychotherapeutische Praxis in Bezug auf Traumabehandlungen erscheint. Das Buch richtet sich an Fachleute und ist für Laien eher weniger geeignet.

In the presented text by Stefan Jacobs and Anna de Jong, the treatments approached are the cognitive-behavioral therapy, the EMDR method and biofeedback combined to the fear reaction Framework to reduce traumatic memories or to inhibit and thus the symptoms of reduce post-traumatic stress disorder. In the first part of the book, the authors detail to the theoretical background (neurophysiology, Brain functions, a), the facilitation of the neuronal accompanied by traumatic memories. Here, they argued that the neuronal Facilitations of trauma can not be cleared, so to speak, that the fear response in the Amygdalaregion Brain is resistant to extinction and thus in consequence the goal of therapy just to reduce the fear response, and inhibiting the fear response could. Specifically, the authors modify within the cognitive, behavioral approach, the model by Ehlers and Clark, as well as the method of EMDR Shapiro. The biofeedback method, the authors use as a diagnostic tool for the subjective evaluation on the part of the patients also making objectively verifiable by measuring electrodermal activity (EDA). In the second part of the book they describe in detail a scientific study of 16 male and female patients, where the treatment program at the University Göttingen participated. Here is at all patients, and patients had a significant positive Detect symptom change the PTB have been. In another part of the book they put their detailed Therapeutic approach and treatment protocol first. It will detail the psychological diagnosis ( Test procedures and biofeedback received an important Part is to communicate information and stabilization for male and female patients. Thereafter the confrontation with trauma treatment and integration. Value in this case in contrast to Shapiro on down early connection to the positive cognition in conjunction with homework, the patients who get between meetings with incoming Behavioral exercises. The authors of a frontier that their method is not for All male and female patients is appropriate, but dissociative And personality disorders and addiction are explicitly excluded. The stabilization exercises are described practically (Safe Place, Safe), as well as the practical Application of biofeedback procedure and the treatment protocol for EMDR. Towards the end of the tape to close case studies from the work of the authors in order to clarify the practice. In the appendix, there are records of the address Terms of testing, biofeedback devices or educational films. In summary, one can say that the band concise, very clear and concrete and practical the neuro-psychological treatment program represents, so this is helpful for the psychotherapeutic Practice in relation to trauma treatment appears. The book is aimed at professionals and is for Lay less suitable.

Keywords: Biofeedback  Posttraumatic Stress Disorder  PTSD  Treatment  

Accuracy Verified: Yes

74. Jacobs, A., & de-Jongh, S. (2007). EMDR und biofeedback in der behandlung von posttraumatischen belastungsstörungen: Ein neuropsychotherapeutisches behandlungsprogramm [EMDR and biofeedback in the treatment of post-traumatic stress disorders]. Göttingen, Germany: Hogrefe. ISBN: 9783801720391.

Language: German

Format: Book

Abstract:
Das Manual stellt ein neu entwickeltes, multimodales neuropsychotherapeutisches Therapieprogramm zur Behandlung der posttraumatischen Belastungsstörung (PTB) vor. Ausgehend von neueren Befunden aus den Neurowissenschaften, die darauf hinweisen, dass eine Dissoziation zwischen implizitem und explizitem Traumagedächtnis die wesentliche Grundlage der PTB darstellt, wurden verschiedene Module in das Behandlungsprogramm integriert. Dazu gehören spezielle kognitiv-behaviorale Interventionstechniken, Biofeedback-gestütztes Eye Movement Desensitization and Reprocessing (EMDR) sowie die gezielte Bereitstellung von Informationen über die Störungszusammenhänge für den Patienten. Mittels Biofeedback wird die elektrodermale Aktivität der Patienten während der EMDR-Sitzungen als Indikator für die autonome Erregung aufgezeichnet. Die bei der Traumaexposition implizit ablaufenden Prozesse werden somit an Therapeut und Patient zurückgemeldet. Dadurch ist es möglich, zu kontrollieren, ob das Ausmaß der autonomen Erregung soweit gesenkt werden konnte, dass eine erfolgreiche Verarbeitung und Abspeicherung der traumatischen Erinnerungen im expliziten Gedächtnissystem möglich wird. Studien belegen die Wirksamkeit des Programms. So zeigen Ergebnisse eine deutliche Reduktion der PTB Symptomatik sowie eine starke Abnahme der autonomen Erregung und der subjektiven Belastung.

The manual presents a newly developed multi-modal neuropsychotherapeutisches therapy program for treatment of post traumatic stress disorder (PTSD before). Based on recent findings from the neurosciences that suggest that a dissociation between implicit and explicit memory of trauma is the main basis of the PTB, different modules were integrated into the treatment program. These include specific cognitive-behavioral intervention techniques, biofeedback-assisted Eye Movement Desensitization and Reprocessing (EMDR) and the targeted provision of information about the disorder correlations for the patient. Biofeedback is recorded, the electrodermal activity of patients during the EMDR sessions as an indicator of autonomic arousal. The case of trauma exposure implicit processes involved are therefore reported to the therapist and patient. This makes it possible to check whether the degree of autonomic arousal could be lowered so far that a successful processing and storage of traumatic memories is possible in the explicit memory system. Studies show the effectiveness of the program. Results nevertheless show a significant reduction of symptoms and PTB a strong decrease of the autonomous arousal and subjective burden.

Keywords: Biofeedback Therapy  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

75. Jacobs, S., Schmidt, S., Ludecke, C., & Strack, M. (2009). EMDR und biofeedback in der behandlung von substituierten traumapatienten [EMDR and biofeedback in the treatment of substituted traumatic patients]. EMDR und biofeedback in der behandlung von substituierten traumapatienten, In S. Jacobs, (Hrsg.), Neurowissenschaften und Traumatherapie. Grundlagen und Behandlungskonzepte, [Neurosciences and Trauma Therapy, Bases and treatment approaches] (pp. 107-134). Göttingen: Universitätsverlag.

Language: German

Format: Book Section

Abstract: Prevalence of Posttraumatic Stress Disorder is alarmingly high among substanceabusing inpatients. Although many studies have shown this problem, treatment offered for combined trauma and substance abuse-therapy can hardly be found. Many patients are told to initially treat their substance abuse before treating the PTSD. This study deals with the trauma-treating method EMDR and biofeedback with substituted inpatients. 15 of these inpatients recieved questionnaires at three different point in time during their therapy, in addition nine of them during a 3-month-follow-up. Furthermore biofeedback-conductance was held within the EMDR-sets to represent the decline of the psycological affrivation, measured wit electrodermal activity h electrodermal activity. These data were compared to not-consuming outpatients, who received the same treatment. Overall there were positive changes in ratings regarding the traumaspecific variables, general psychic strain, depressivity, somatic discomfort and dissociative symptoms. An increased satisfaction in different areas of life could also be observed. Data associated with electrodermal activities showed only marginal differences compared to the reference data.

Keywords: Biofeedback  

Accuracy Verified: Yes

76. Jacobs, S., & Strack, M. (2007, Mai). EMDR und biofeedback in der therapie posttraumatischer belastungsstörungen. Evaluation eines neuropsychotherapeutischen [EMDR and biofeedback therapy in post-traumatic stress disorder. Evaluation of a neuropsychology treatment program]. Symposium at the (R. Keller, Chair) Workshoptagung der European Society für traumatische Stress Studies (EWOTS), Hamburg, Deutschland.

Language: German

Format: Conference

Abstract:
Evaluiert wurde ein neu entwickeltes multimodales, neuropsychotherapeutisches Programm zur Behandlung der posttraumatischen Belastungsstörung (PTB). Ausgehend von neueren Befunden aus den Neurowissenschaften, die darauf hinweisen, dass eine Dissoziation zwischen implizitem und explizitem Traumagedächtnis die wesentliche Grundlage der PTB darstellt, wurden verschiedene Module in das Behandlungsprogramm integriert. Dazu gehören neben der gezielten Bereitstellung von Informationen über die Störungszusammenhänge, ein Patientenedukationsfilm, spezielle kognitiv-behaviorale Interventionstechniken sowie Biofeedback gestütztes Eye Movement Desentization and Reprocessing (EMDR). Ziel der Anwendung des Biofeedback im Rahmen der EMDR-Sitzungen ist es zum einen, den PatientInnen implizite Prozesse während der Traumaexposition zurückzumelden, zum anderen wird anhand der Biofeedback-Aufzeichnung das Ausmaß der Übereinstimmung zwischen subjektivem Belastungsgrad durch die traumatische Erinnerung (SUD-Rating) und physiologisch messbarer Erregung überprüft. Als physiologischer Parameter wurde die elektrodermale Aktivität (Hautleitwert, EDA) erhoben.

Was evaluated a newly developed multi-modal, neuro psychotherapeutic Program for the treatment of post traumatic stress disorder (PTSD). Starting by recent findings from neuroscience, the point out that a dissociation between implicit Trauma and explicit memory the essential PTB is based on, were different modules integrated into the treatment program. These include next targeted provision of information on the disorder correlations, a Patientenedukationsfilm, specific cognitive-behavioral intervention techniques and biofeedback-assisted Eye Movement Desentization and Reprocessing (EMDR). The aim of the application of Biofeedback in the EMDR sessions is to one, the patients implicit processes during the Trauma exposure report back, on the other hand on the basis of biofeedback recording the extent of Agreement between subjective stress level by the traumatic memory (SUD rating) and measurable physiological arousal reviewed. As a physiological Parameters, the electrodermal activity (skin conductance, EDA) raised.

Keywords: Biofeedback  Posttraumatic Stress Disorder  PTSD  Symposium  

Accuracy Verified: Yes

77. Jacobs, S., de Jong, A., & Strack, M. (2007). EMDR und biofeedback in der therapie posttraumatischer belastungsstörungen: Evaluation eines neuropsychotherapeutischen behandlungsprogramms [EMDR and biofeedback in the therapy of posttraumatic stress disorder: Evaluation of a neuropsychotherapeutic intervention]. VPP - Verhaltenstherapie & Psychosoziale Praxis, 39(4), 855-876.

Language: German

Format: Journal

Abstract:
Eine neu entwickelte multimodale, neuropsychotherapeutic Programm für die Behandlung der Posttraumatischen Belastungsstörung (PTBS) wurde ausgewertet. Ausgehend von neueren Erkenntnissen in der Forschung neuroscienctific, so dass eine Dissoziation zwischen impliziter und expliziter Trauma-Speicher die wichtigste Grundlage der PTBS ist, verschiedene Module wurden im Rahmen der Behandlung integriert anzuzeigen. Die vereinigten Komponenten sind: spezifische Hintergrundinformationen über die Unordnung und typische PTSD-Symptome, eine pädagogische Film für Patienten, spezifische kognitive Verhaltenstherapie und Biofeedback-Techniken unterstützte Eye Movement Desensitization and Reprocessing (EMDR). Das Ziel der Biofeedback-Sitzungen während EMDR ist es, den Patienten eine direkte Rückmeldung über die implizite Prozesse während der Trauma-Exposition. Darüber hinaus Erfassung der physiologischen Daten über Biofeedback ermöglicht das Testen, ob es eine Korrelation zwischen dem Grad der subjektiven Belastung durch traumatische Erinnerungen ausgelöst (quantifiziert mit der SUD-Skala), und messbare physiologische Erregung. Elektrodermale Aktivität (EDA; Hautleitfähigkeit) wurde als eine physiologische Parameter gemessen. Die Ergebnisse einer durchgeführten Pilot-Studie (16 Patienten auf der Grundlage, mit einem wartenden Gruppe als Kontrollgruppe) zeigen verschiedene EDA-Muster während EMDR-desensitivation (fad und assoziative Wiederaufbereitung). Ein offensichtlich Reduktion der PTBS-Symptome gefunden (d = 2,27) sein, die stärker ist als in anderen Behandlungen. Die traumatischen Erinnerungen mit EMDR behandelt wurde weniger Anstrengung, die ebenfalls reflektiert in der Physiologie (verminderte autonome Erregung) und in der subjektiven Belastung fühlte sich durch die Patienten. Die Kürzungen der Erregung (d = 1,01) und subjektive Belastung (d = 2,55) zeigen, dass eine effektive Hemmung der Aktivierung der Amygdala-und damit der Angstreaktion selbst-aufgrund der Intervention geschaffen. Mit EMDR reduziert die Amygdala physiologische Erregung. Wir vermuten, dass aus diesem Grund den medialen präfrontalen Kortex und im Hippocampus kann eine kortikale Inhibition, die erfolgreich reduziert die Angst-Reaktion (Grawe, 2004) zu etablieren. Die berichteten Ergebnisse wurden durch einen dreimonatigen Follow-up-Bewertung bestätigt. Mit einer durchschnittlichen Dauer von 16 Sitzungen und einer nicht vorhandenen Drop-out-Rate (0%), die Intervention erwiesen sich ebenfalls als sehr effizient. (PsycINFO Database Record (c) 2010 APA, alle Rechte vorbehalten)

A newly developed multimodal, neuropsychotherapeutic program for the treatment of posttraumatic stress disorder (PTSD) was evaluated. Starting from recent findings in the neuroscienctific research, which indicate that a dissociation between implicit and explicit trauma-memory is the main basis of PTSD, different modules were integrated within the treatment. The combined components are: specific background information regarding the disorder and typical PTSD-symptoms, an educational movie for patients, specific cognitive behavioral intervention techniques and biofeedback-supported Eye Movement Desensitization and Reprocessing (EMDR). The aim of using biofeedback during EMDR sessions is to give patients a direct feedback about the implicit processes during trauma-exposition. In addition, recording the physiological data via biofeedback allows testing if there is a correlation between the level of subjective strain, triggered by traumatic memories (quantified with the SUD-scale), and measurable physiological arousal. Electrodermal activity (EDA; skin conductance) was measured as a physiological parameter. The results of a conducted pilot-study (based on 16 patients, with a waiting group as a control group) show different EDA-patterns during EMDR-desensitivation (bland and associative reprocessing). An evident reduction of the PTSD-symptoms could be found (d = 2.27), which is stronger than in other treatments. The traumatic memories treated with EMDR became less straining, which reflects likewise in physiology (decreased autonomous arousal) and in the subjective strain felt by the patients. The reductions of arousal (d = 1.01) and subjective strain (d = 2.55) indicate that an effective inhibition of the amygdala activation—and thereby of the anxiety reaction itself—is created due to the intervention. Using EMDR reduces the amygdala induced physiological arousal. We suppose that for this reason the medial prefrontal cortex and the hippocampus can establish a cortical inhibition, which successfully reduces the anxiety reaction (Grawe, 2004). The reported results were confirmed by a three month follow-up evaluation. With an average duration of 16 sessions and a non-existing drop-out rate (0%), the intervention also proved to be very efficient. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Biofeedback  PTSD  

Accuracy Verified: Yes

78. Hornsveld, H. (2008, Maart). EMDR werkt! Maar hoe? [EMDR works! But how?]. Presentatie op de derde conferentie van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
Het leidt geen enkele twijfel dat EMDR een effectieve behandelvorm is. EMDR is opgenomen in de guidelines van de International Society for Traumatic Stress Studies (ISTSS) waarbij zowel EMDR als Imaginaire Exposure (IE) als ‘treatment of choice’ bij de behandeling van PTSS gelden. Ook in de Nederlandse GGZ-richtlijnen (Trimbos Instituut, 2003) worden EMDR en imaginaire exposure (IE) genoemd als superieure behandelvormen voor PTSS. Rechtstreekse vergelijking van CGt en EMDR leverde echter wisselende resultaten op. Over het geheel genomen kan worden gesteld dat wat betreft effectiviteit er geen duidelijk verschil is vastgesteld tussen CGt en EMDR. Dit is opvallend, omdat de procedures en de veronderstelde werkingsmechanismen bij IE en EMDR duidelijk verschillen. Bij IE wordt reliving essentieel geacht en bij EMDR distancing. Hier is echter nog nauwelijks expliciet onderzoek naar gedaan; het meeste onderzoek heeft zich tot nu toe gericht op de effectiviteit van EMDR en op de rol van de BLS. In deze presentatie zullen drie eigen experimenten worden besproken die worden uitgevoerd met masterstudenten van de Universiteit Utrecht naar het effect van reliving versus distancing. Het onderzoek bouwt voort op het werk van de Chris Lee en zijn collega’s. (Lee et al 2006) In het onderzoek worden 3 experimenten uitgevoerd, waarbij de variabele distancing en reliving worden gevarieerd. Verondersteld wordt (vanuit de EMDR visie) dat responses tijdens de desensitisatiefase, die getuigen van distancing leiden tot meer verbetering dan responses die getuigen van reliving. Een tweede onderzoeksvraag die wij beogen te beantwoorden is of dit verschil groter is voor narigheid uit het domein “zelfwaardering” dan voor narigheid uit het “domein controle en machteloosheid”. Een derde onderzoeksvraag betreft de vraag of een verhoogde parasympatische (arousal onderdrukkende) activiteit (een reeds aangetoond effect van BLS) samengaat met veranderingen in SUD-niveau en levendigheid van de herinneringen. De workshop is bedoeld voor therapeuten die geïnteresseerd zijn in de achtergronden van EMDR. Op zo eenvoudig mogelijke wijze zal een overzicht worden gegeven van de “state of the art” met betrekking tot de veronderstelde werkingsmechanismen. Dit zal worden geïllustreerd met bovengenoemd onderzoek en videomateriaal. Aan het eind van de workshop zal de therapeut zijn cliënten en collega’s iets meer kunnen zeggen dan “ dat EMDR de verwerking stimuleert door de linker en de hersenhelften beter te laten samenwerken, waardoor gevoel en verstand beter met elkaar verbonden raken.”

There is no doubt that EMDR is an effective form of treatment. EMDR is included in the guidelines of the International Society for Traumatic Stress Studies (ISTSS) where both EMDR and imaginal exposure (IE) as treatment of choice in the treatment of PTSD are. Also in the Dutch mental health care directives (Trimbos Institute, 2003) are EMDR and imaginal exposure (IE) identified as superior forms of treatment for PTSD. Direct comparison of CBT and EMDR yielded mixed results, however. Overall it can be stated that in terms of effectiveness there is no clear difference observed between CBT and EMDR. This is striking because the procedures and mechanisms assumed by IE and EMDR markedly different. When IE is reliving considered essential to EMDR and distancing. There is still little research has been done explicitly, most research has hitherto focused on the effectiveness of EMDR and the role of the BLS. This presentation will discuss three own experiments conducted with master students of the University of Utrecht to the effect of relieving versus distance. The research builds on the work of Chris Lee and his colleagues. (Lee et al 2006) In the study, three experiments, with variable distancing and reliving be varied. It is assumed (from the EMDR vision) that responses during desensitisatiefase, evidence of distancing lead to more improvement than responses that show reliving. A second research question we seek to answer is whether this difference is in trouble from the domain "esteem" than for trouble from the "domain control and powerlessness". A third research question concerns whether an increased parasympathetic (arousal suppressive) activity (an effect already demonstrated BLS) is associated with changes in SUD level and vividness of the memories. The workshop is designed for therapists interested in the backgrounds of EMDR. In the simplest possible manner, an overview of the state of the art "regarding the supposed mechanisms of action. This will be illustrated with the above study and video material. At the end of the workshop, the therapist will have clients and colleagues can say little more than "that EMDR stimulates the processing by the left and the brain work better together, making sense and intellect more interrelated."

Keywords: Practice  Theory  

Accuracy Verified: Yes

79. Solomon, R. M. (2008, June). EMDR with grief and mourning. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
The death of a loved one confronts people with particularly complicated challenges at a time of often unparalleled distress. This workshop will focus on integrating EMDR into the treatment of grief and mourning. Understanding grief and mourning in terms of the Adaptive Information Processing model will be presented and illustrated by case presentations and videos of EMDR sessions. EMDR does not shorten the phases the mourner has to go through for adaptive assimilation and accommodation of the loss, but processes the factors that can complicate the mourning. The processes the mourner has to go through for assimilation and accommodation of the loss, and how EMDR facilitates movement through them, will be presented. Particular attention will be paid to how EMDR facilitates the emergence of adaptive inner representations. We do not lose attachments to loved ones that die, they are transformed. We move from loving in presence to loving in absence. Memories of the deceased often emerge during EMDR treatment. It is the emergence of memories of the deceased that let us know and acknowledge the meaning of the relationship, the person’s role in our lives and identity, and enable us to carry the basic security of having loved and been loved into the future. We can go forward in a world without the deceased, because we have an adaptive inner representation to take with us. Content includes: · Overview of AIP model and how it applies to grief and mourning · Acute grief as a form of traumatic stress · Common responses to loss · The six “R” processes of mourning · High-risk factors predisposing to complicated mourning · General principles of EMDR treatment in grief and mourning

Keywords: Bereavement  Grief  Mourning  Psychotherapeutic Processes  Survivors  

Accuracy Verified: Yes

80. Wilcox, J. (1994). EMDR with panic disorder: Patients who inhibit anxiety reactions. EMDR Network Newsletter, 4(1), 9-10.

Language: English

Format: Newsletter

Abstract:
Introducing EMDR to panic disorder patients who have been educated in that reduce anxiety responses can pose some interesting challenges. Several patients who had been in therapy with me for a year or more had learned quite well the skills of using deep breathing, relaxation, and cognitive pattern interruption techniques to inhibit their anxiety reactions. I discovered how well they internalized these strategies as we began the EMDR in our attempts to clear the root causes of their panic disorder.

Keywords: Panic Disorders  

Accuracy Verified: Yes

81. Cooper, A. (1995, June). EMDR with victims of trauma:  Protecting your client, protecting yourself. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
EMDR is an innovative and rapidly expanding new, treatment technique. Therapists are provided with two weekends of intensive training and encouraged to obtain supervision and be active in peer consultation groups and networks, and work to refine their skills. It is uncertain what percentage follow through in this regard. Estimates of the numbers of people who are victims of sexual trauma in our society are staggering (one in 3 girls, one in seven boys). Research finds that approximately half the people who present for psychotherapy have some sexual trauma in their history. EMDR has been hailed as an important new technique in facilitating the treatment of those who have been sexually traumatized. With correct usage, EMDR can greatly facilitate the treatment. At the same time, sexual trauma is a complex and volatile issue and awkward, poorly timed, or overly simplistic usage of EMDR could potentially lead to adverse consequences for the patient and treatment. As with any therapeutic technique or paradigm it can only be as helpful as that of the overall treatment. In addition the mere usage of EMDR will have an impact on the therapy, as well as the therapeutic container, and therapists need to be cognizant of what that impact will be as well as to be sure that they know how to incorporate the patient reactions into the treatment in a positive way and not allow them to undermine, or otherwise detrimentally effect both patient and therapist primary therapy goals. Particularly in these times of increased litigation, malpractice suits, and professional grievances against therapists those professionals utilizing EMDR would be wise to be aware of the particular risks inherent in the patient population in which they work, as well as the inherent vulnerability of utilizing a newly developed technique. In treating sexual trauma many experts agree that the crucible of the therapeutic container- is whether the healing will occur if the therapist sucessfully deals with the challenges the patient will offer lip. Again how those utilizing EMDR negotiates those challenges may be he difference between a successful course of therapy and a disaster. Finally, working with sexual trauma is an emotionally, intellectually, and sometimes physically demanding undertaking. Many therapists do not fully realize or acknowledge the toll that this type of work exacts and may be blind to the countertransferentia1 responses which arise and how they are communicated to the patient. In this workshop we will first reveal, some of the current thinking on the primary treatment issues (and obstacles) in therapy with victims of sexual trauma. We will then examine how and when is the most propitious time to use EMDR with this population and what reactions patients are likely to have to this type of intervention. Specific ways that EMDR and its implementation may activate certain issues in sexual trauma victims be elucidated as well as strategies for addressing those issues. Finally participants will engage in a series of experiential exercises designed to heighten their awareness of their own personal reactions and feelings (i.e., countertransference) to working with the intensity of sexual trauma. Once again these potential reactions will be linked to more or less effective usage of EMDR.

Keywords: Trauma  

Accuracy Verified: Yes

82. Bertolotti, G. (2008, June). EMDR: Should be appropriate in a rehabilitation multidisciplinary programme?. Poster session presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Because EMDR is a powerful short-term therapy effective for confronting and overcoming stress, anxiety, and trauma which could be its role in an intensive rehabilitation multidisciplinary programme? As well-known PTSD is the most common diagnostic category used to describe symptoms arising from emotionally traumatic experience.This disorder presumes that the person experienced a traumatic event involving actual or threatened death or injury to themselves or others. Some research shows that EMDR is rapid, safe and effective in helping those who suffer from anxiety, distressing memories, nightmares, insomnia, as consequences from traumatic events. Several recent reviews have looked at the relationship between medical illness and subsequent PTSD. Moreover Spindler(2005) published a review with focal point on subjects after cardiovascular disease and mainly with a focus on prevalence rates, risk factors, and future. Should be possible catch a trauma event right through in-hospital and use the EMDR when appropriate? Hence how should be tailored an appropriate assessment procedures during the rehabilitation in-hospital? Anxiety (using a the STAI) and Depression (measured with Depression Questionnaire) with clinical cut-off score might be useful in screening and an adequately structured interview could complete in-hospital screening. In a more wide assessment screening a device for psychophysiological assessment measuring electrodermal activity and heart rate/pulse wave. An elevated cardiovascular and electrodermal activity during the interview should be an index for selecting a clinical simple of patients where carry out a deeper assessment in search for a trauma connect to the pre-rehabilitation period or older. The aforementioned could be a wished-for screen subjects with trauma events both at short or long term insurgence.

Keywords: Rehabilitation Multidisciplinarian Program  

Accuracy Verified: Yes

83. Shapiro, F. (1991, August). EMDR:  A cautionary note. EMDR Network Newsletter, 1(1), 3-4.

Language: English

Format: Newsletter

Abstract:
The responses to my article, "Eye Movement Desensitization & Reprocessing: From EMD to EMDR -- A New Treatment Model for Anxiety and Related Traumata" in the May 1991 (Vol. 14, No. 5) issue of the Behavior Therapist, have been both gratifying and, at times, disturbing. After receiving numerous requests for a "description of the revised procedure," and upon rereading the article, I can see that I did not make sufticiently clear the fact that clients are at risk if untrained clinicians attempt to use EMDR.

Keywords: Cautions  

Accuracy Verified: Yes

84. Quinn, G. (2006, August). Emergency room (ER) protocol. In Judi Guedalia & Francis Yoeli, EMDR Protocol for ER and Wards, Shaare Zedek Medical Center, Jerusalem, Israel.

Language: English

Format: Book Section

Abstract:
This section EMDR treatment immediately after a traumatic event. The treatment combines shock treatments with ingredients From EMDR. This treatment protocol is not official yet and would like to bring a summary of our experience in treating victims of terrorism in the ICU. Representative of the protocol has been formulated so far (it probably will take some developments) as well as a case study illustrates the use of the protocol. Nurse in the ICU is Dr. Judy Gedalia receiving immediate training. Yoeli Francis on line. SCREENING When the patient is showing dissociative responses to the trauma, hysterical paralysis, fugue-like state, we don’t attempt EMDR. As the Patients are usually in the ER for many many hours (5-8) opportunities present themselves to assess the patients ability to communicate by various means.
The EMDR-ER© Protocol is used with patients who do not seem able to move on to the ambulatory staging area (are still on gurney’s) and display difficulty in being able to re-assume normal- appropriate with the situation- physical and psychological, behavioral function Also EMDR is not used in the ER with patients who seem to have below borderline intelligence. I have used EMDR in the ER with patients whose language I didn’t know (Amharic for example), with an interpreter present with good results.

Keywords: Emergency Room Protocol  

Accuracy Verified: Yes

85. Corrigan, F. (2007, March). Emotions, mindfulness, defence responses: A ventromedial shift hypothesis on the mechanism of action of EMDR. Symposium at the 5th annual Conference of the EMDR UK & Ireland Association, Glasgow, Scotland.

Language: English

Format: Conference

Keywords: Mechanism of Action  Mindfulness  Symposium  

Accuracy Verified: Yes

86. Sack, M., Lempa, W., & Lamprecht, F. (2005, September 24). Empirische befunde zu wirkmechanismen des EMDR [Empirical evidence of mechanisms of action of EMDR]. In A. Karl & W. Lempa, (Moderators), Symposium 2 Traumaspezifische Interventionen in Forschung und Praxis, Jahrestagung der deutschsprachigen Gesellschaft für Psychotraumatologie DeGPT, Dresden .

Language: German

Format: Conference

Abstract:
Das Traumabearbeitungsverfahren EMDR (Eye Movement Desensitization and Reprocessing) kombiniert die imaginäre Exposition mit der traumatischen Erinnerung mit repetitiver Stimulation durch Augenbewegungen oder durch taktile bzw. auditive Reize. Während die Wirksamkeit des EMDR gut belegt ist, sind die spezifischen Wirkungen der bilateralen Stimulation noch weitgehend unbekannt. Wir führten ein psychophysiologisches Monitoring mittels Impedanzkardiographie aller EMDR-Behandlungssitzungen ( N= 55) bei 10 Patienten mit PTSD durch. Aufgezeichnet wurden Herzfrequenz (HR), Parasympathikotonus (RMSSD), Sympathikotonus (PEP), und Atemfrequenz (RESP). Beginn und Ende der Stimulationsperioden (N = 811) wurden markiert. Es fand sich ein steiler Anstieg des Parasympathikotonus verbunden mit einem signifikanten Abfall der Herzfrequenz zu Beginn der Stimulationsperioden, entsprechend dem psychophysiologischen Reaktionsmuter einer deutlich ausgeprägten Orientierungsreaktion. Im weiteren Verlauf der Stimulation nahm der Parasympathikotonus wieder ab und der Sympathikotonus nahm zu, was sich als Stresseffekt während der Exposition interpretieren lässt. Im Sitzungsverlauf zeigte sich jedoch eine signifikante Abnahme der Herzfrequenz und eine Zunahme des Parasympathikotonus. Unsere Befunde weisen darauf hin, dass es während EMDR-Sitzungen zu einem signifikanten psychophysiologischen Dearousal kommt. Die Stimulation durch Augenbewegungen scheint eine Orientierungsreaktion auszulösen, die über eine passagere Erhöhung des Parasympathikotonus eine Entspannungsreaktion auslöst. Es stellt sich die Frage, inwieweit die von uns beobachteten psychophysiologischen Reaktionen mit dem Therapieerfolg korrelieren.[Author abstract]

The EMDR trauma processing method (Eye Movement Desensitization and Reprocessing) combines the imaginary exposure to the traumatic memory with repetitive stimulation of eye movements or tactile or auditory stimuli. While the effectiveness of EMDR is well documented, the specific effects of bilateral stimulation are still largely unknown. We conducted a psycho-physiological monitoring using impedance cardiography of EMDR treatment sessions (N = 55) of 10 patients with PTSD. Recorded were heart rate (HR), parasympathetic tone (RMSSD), sympathetic (PEP) and respiratory rate (RESP). Beginning and end of the stimulation periods (N = 811) were selected. There was a steep increase in parasympathetic tone associated with a significant decrease in heart rate at the beginning of the stimulation periods, according to the psycho-physiological Reaktionsmuter a clearly marked orientation reaction. In the course of the stimulation of the parasympathetic tone took off again and the sympathetic tone increased, which can be interpreted as a stress effect during exposure. During the session, however, showed a significant decrease in heart rate and an increase in parasympathetic tone. Our findings indicate that occurs during EMDR sessions to significant psychophysiological Dearousal. The stimulation of eye movements seems to trigger a policy response that triggers a transient increase in parasympathetic tone a relaxation response. This begs the question of the extent to which we have observed psychophysiological responses correlate with treatment success. [Author abstract]

Keywords: Mechanism of Action  

Accuracy Verified: Yes

87. Yehuda, R. (2012, October). Epigenetics: What does it explain about trauma survivors?. Plenary presented at the annual meeting of the EMDR International Association, Arlington, VA .

Language: English

Format: Conference

Abstract:
Most persons who develop PTSD in the aftermath of exposure recover from trauma-related symptoms, but remain at risk for a recrudescence of symptoms. This suggests that there are aspects of the response to high magnitude trauma that are long-lasting, despite variations in symptom intensity over time. Current bio-behavioral models of PTSD fall short of explaining the apparent paradox of an enduring response on the one hand and symptom change over time on the other. However, this phenomenon can potentially be explained by epigenetic mechanisms. Epigenetics (literally: “epi” meaning “in addition to” genetics) refers to a heritable change in the genome that can be induced by environmental events and does not involve an alteration of DNA sequence. Such modifications reflect enduring changes in the function of the DNA that are caused by environmental exposures. These changes can alter gene function influencing its biological activity. This presentation will discuss evidence for such changes in PTSD, and will explain how such mechanisms explain many of the salient features of PTSD, including individual variation in responses to events of similar intensity (e.g., combat exposures), and the relative permanence of biological and psychological alterations associated with the disorder. Current models of stress, or even gene-environment interactions, only partially address the influence of prior exposure(s) on PTSD vulnerability and the long-lasting biological and psychological effects of trauma exposure. In addition, epigenetic modifications can be transmitted intergenerationally, both through the maternal and paternal lines. The implications of such changes as PTSD vulnerability factors will also be discussed.

Keywords: Epigenetics  Plenary  Survivors  Trauma  

Accuracy Verified: Yes

88. Ohtani, T., Matsuo, K., Kasai, K., Kato, T., & Kato, N. (2010, February). Erratum to “Hemodynamic responses of eye movement desensitization and reprocessing in posttraumatic stress disorder”. Neuroscience Research, 66(2), 232. doi:10.1016/j.neures.2009.12.002.

Language: English

Format: Journal

Abstract:
Reports an error in "Hemodynamic responses of eye movement desensitization and reprocessing in posttraumatic stress disorder" by Toshiyuki Ohta ni, Koji Matsuo, Kiyoto Kasai, Tadafumi Kato and Nobumasa Kato (Neuroscience Research, 2009[Dec], Vol 65[4], 375-383). The publisher regrets that the surname of Dr. Ohtani was incorrectly spelt in the original article. The corrected author listing is given in the erratum. (The following abstract of the original article appeared in record 2009-20201-001). Eye movement desensitization and reprocessing (EMDR) is an effective psychological intervention for posttraumatic stress disorder (PTSD). Trauma-related recall (Recall) with eye movements (EMs) is thought to reduce distress. However, the neural mechanisms underlying this process remain unknown. Thirteen patients with PTSD received EMDR treatment over the course of 2–10 weeks. We assessed the change in hemoglobin concentration in the lateral prefrontal cortex (PFC) during Recall with and without EM using multi-channel near-infrared spectroscopy (NIRS). Clinical diagnosis and improvement were evaluated using the Clinician-Administered PTSD Scale. Recall with EM was associated with a significant decrease in oxygenated hemoglobin concentration ([oxy-Hb]) in the lateral PFC as compared with Recall without EM. Longitudinally, [oxy-Hb] during Recall significantly decreased and the amount of decrease was significantly correlated with clinical improvement when the post-treatment data was compared with that of the pre-treatment. Our results suggest that performing EM during Recall reduces the over-activity of the lateral PFC, which may be part of the biological basis for the efficacy of EMDR in PTSD. NIRS may be a useful tool for objective assessment of psychological intervention in PTSD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Hemodynamic Responses  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

89. Wolff, R. P. (2004). Evaluation of effectiveness of individual therapy sessions over 60 minutes. California Institute of Integral Studies, San Francisco, CA. AAT 3158599.

Language: English

Format: Dissertation/Thesis

Abstract:
Research has produced few studies that support the 50-minute therapy session as the most effective session length for achieving optimal therapeutic results. This descriptive study attempted to determine differences in therapists' perceptions of how session length might impact therapeutic process, therapeutic outcome, treatment of specific psychological disorders, and if session length preference was based on theoretical orientation or procedures/techniques. A total of 65 practicing therapists drawn from the International Society for the Study of Dissociation, EMDR International Association, Trauma Incident Reduction Practitioners, San Francisco Society of Lacanian Study, and California Psychological Network completed questionnaires regarding their perceptions about psychotherapy for individuals employing longer session lengths versus the standard 50-minute session.Overall frequencies of questionnaire responses and between groups comparisons were analyzed using Chi-Square. The sample endorsed the use of longer sessions at statistically significant frequencies on the following questionnaire items: three therapeutic outcome items: Increases client's satisfaction, Shortens overall duration of therapy, and Facilitates corrective emotional experience; and nine therapeutic process items: Access to client's emotional material, Integration of experience before leaving session, Deepens development of transference, Working through defenses, Access to traumatic experiences, Integrate traumatic experience within session, Working through traumatic experience, and Improving likelihood of breakthrough experiences. The sample also agreed on the use of longer sessions as potentially contributing to positive outcome for treatment of the following disorders: Substance Abuse, Panic Disorder, Agoraphobia, Specific Phobia, Social Phobia, PTSD, GAD, and Eating Disorders. The findings of this study suggest that longer session lengths may have a positive impact on therapeutic process, therapeutic outcome, and certain disorders. Specific implications for the field of psychology and suggestions for research are discussed. [Author Abstract]

Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(12-B), 2005, pp. 6680.

Keywords: Empirical Study  Health Personnel Attitudes  Individual Psychotherapy  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Quantitative Study  Treatment Duration  Treatment Effectiveness  

Accuracy Verified: Yes

90. Aubert-Khalfa, S., Roques, J., & Blin, O. (2008). Evidence of a decrease in heart rate and skin conductance responses in PTSD patients after a single EMDR session. Journal of EMDR Practice and Research, 2(1), 51-56. doi:10.1891/1933-3196.2.1.51.

Language: English

Format: Journal

Abstract:
Patients with PTSD demonstrate abnormal psychophysiological responses to stressful events. Given that eye movement desensitization and reprocessing (EMDR) therapy appears to be a treatment of choice for trauma victims, the aim of the present study was to determine if psychophysiological responses to stress decreased after a single EMDR session. 6 PTSD patients were treated by an EMDR therapist. Their psychophysiological responses (heart rate and skin conductance) were recorded before and after the EMDR session under two conditions: (a) in a relaxed state and (b) while visualizing their own traumatic event. At the end of the session, all patients had a significant reduction in their PTSD symptoms, which confirms previous results demonstrating the efficacy of the EMDR approach. Second, after only one EMDR session, heart rate and skin conductance during the trauma recall decreased significantly as compared to a relaxing state. [Author Abstract]

Keywords: Adults  Arousal  Clinical Trial  Electrodermal Activity  Empirical Study  French  Heart Rate  Posttraumatic Stress Disorder  Psychophysiology  PTSD  Quantitative Study Skin Conductance  Stressors  Survivors  Treatment  Treatment Effectiveness  

Accuracy Verified: Yes

91. McCullough, L. (2002, December). Exploring change mechanisms in EMDR applied to "small-t trauma" in short-term dynamic psychotherapy: Research questions and speculations. Journal of Clinical Psychology, 58(12), 1531-1544. doi:10.1002/jclp.10103.

Language: English

Format: Journal

Abstract:
This article represents a process of preliminary search and discovery regarding the active mechanisms in Eye Movement Desensitization and Reprocessing (EMDR) when used in Short-Term Dynamic Psychotherapy (STDP). Patients' (N = 7) responses to EMDR interventions were categorized as either "trauma" or "resolution" responses and examined in relationship to (a) the number of EMDR sets, (b) patient Global Assessment of Functioning Rating (GAF) scores, and (c) raw change in Subjective Units of Distress (SUD) ratings of severity of traumatic memory and Validity of Cognition (VoC) ratings of positive cognitions before and after EMDR sessions. Further subcategorization and development of the broad categories of trauma and resolution were recommended and may be useful in shedding light on how change happens in EMDR. This study was exploratory and attempted only to identify possible variables for further study. However, the results show potential relationships among variables that merit further refinement and study. Research questions generated from this study are discussed. [Author Abstract]

Keywords: Effects  Empirical Study  Posttraumatic Stress Disorder  Psychoanalytic Psychotherapy  PTSD  Research Needs  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

92. Bryant, R. A., Harvey, A. G., Gordon, E., & Barry, R. (1995). Eye movement and electrodermal responses to threat stimuli in post-traumatic stress disorder. International Journal of Psychophysiology, 20(3), 209-213. doi:10.1016/0167-8760(95)00036-4.

Language: English

Format: Journal

Abstract:
A core feature of post-traumatic stress disorder (PTSD) is hypervigilence to threatening material. This study measured processing of threat material in PTSD with simultaneously acquired initial eye movements and electrodermal activity, following presentation of threatening and neutral words. Ten PTSD subjects and 10 controls were presented with 4 words in parafoveal range. On trials in which a threat word was present, PTSD subjects demonstrated initial eye fixations on the threat word more than controls. PTSD subjects also demonstrated more orienting responses on all trials than controls. These results suggest that processing of threat information in PTSD can be usefully investigated with convergent psychophysiological methodologies.

Keywords: Electrodermal Responses  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

93. MacCulloch, M. J., & Feldman, P. (1996, November). Eye movement desensitisation treatment utilises the positive visceral element of the investigatory reflex to inhibit the memories of post-traumatic stress disorder:  A theoretical analysis. British Journal of Psychiatry, 169(5), 571-579.

Language: English

Format: Journal

Abstract:
Background: Eye movement desensitisation and reprocessing (EMDR) has attracted controversy and has led to publications covering a wide range of psychological problems treated by EMDR, in particular, PTSD. There is growing clinical evidence of the effectiveness of EMDR, but a lack of a convincing theoretical basis to explain its rapid effect. Method: This paper argues that a combination of Pavlovian and Darwinian theory provide a theoretical explanation for the therapeutic effectiveness of EMDR. Results: We suggest that the investigatory component of the orienting reflex is an evolutionary development enabling organisms to assess their environment for both opportunities and threats. We propose that EMDR is rapidly effective because it is a clinical method of Pavlovian conditioning by which the positive visceral element of the investigatory reflex can be paired with clinically-induced noxious memories to remove their negative affect. Conclusion: Compared with established forms of treatment for PTSD, EMDR is rapid, with resulting clinical and economic benefits. Our suggested theoretical basis for EMDR has implications for further explanatory research and for developments in EMDR treatment. [Author Abstract]

Keywords: Conditioned Emotional Responses  Literature Review  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes

94. Substance Abuse and Mental Health Services Administration (SAMHSA). (2010, October). Eye movement desensitization and reprocessing. National Registry of Evidence-Based Programs and Practices, U.S. Department of Health and Human Services (HHS). Retrieved from http://nrepp.samhsa.gov/ViewIntervention.aspx?id=199 on 3/25/2011.

Language: English

Format: Other

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a one-on-one form of psychotherapy that is designed to reduce trauma-related stress, anxiety, and depression symptoms associated with posttraumatic stress disorder (PTSD) and to improve overall mental health functioning. Treatment is provided by an EMDR therapist, who first reviews the client's history and assesses the client's readiness for EMDR. During the preparation phase, the therapist works with the client to identify a positive memory associated with feelings of safety or calm that can be used if psychological distress associated with the traumatic memory is triggered. The target traumatic memory for the treatment session is accessed with attention to image, negative belief, and body sensations. Repetitive 30-second dual-attention exercises are conducted in which the client attends to a motor task while focusing on the target traumatic memory and then on any related negative thoughts, associations, and body sensations. The most common motor task used in EMDR is side-to-side eye movements that follow the therapist's finger; however, alternating hand tapping or auditory tones delivered through headphones can be used. The exercises are repeated until the client reports no emotional distress. The EMDR therapist then asks the client to think of a preferred positive belief regarding the incident and to focus on this positive belief while continuing with the exercises. The exercises end when the client reports with confidence comfortable feelings and a positive sense of self when recalling the target trauma. The therapist and client review the client's progress and discuss scenarios or contexts that might trigger psychological distress. These triggers and positive images for appropriate future action are also targeted and processed. In addition, the therapist asks the client to keep a journal, noting any material related to the traumatic memory, and to focus on the previously identified positive safe or calm memory whenever psychological distress associated with the traumatic memory is triggered. The underlying mechanism for how this process works to reduce trauma-related stress, anxiety, and depression is unknown. Researchers have theorized that the positive effect is due to adaptive information processing, the theoretical model behind EMDR. Through adaptive information processing, the dual-attention exercises disrupt the client's stored memory of the trauma to allow for an elimination of negative beliefs, emotions, and somatic symptoms associated with the memory as it connects with more adaptive information stored in the memory networks. Once recall of the trauma no longer elicits negative beliefs, emotions, or somatic symptoms and the memory simultaneously shifts to a more adaptive set of beliefs, emotions, and somatic responses, it is stored again, overwriting the original memory of the trauma. EMDR is typically delivered in 60- to 90-minute sessions, although shorter sessions have been used successfully. The number of sessions varies with the complexity of the trauma being treated. For an isolated, single traumatic event, one to three sessions may be sufficient for treatment. However, when the trauma involves repeated traumatic events, such as combat trauma and physical, sexual, or emotional abuse, many more sessions may be needed for comprehensive treatment.

Keywords: Intervention Summary  

Accuracy Verified: Yes

95. ten Broeke, E., & de Jongh, A. (2007). Eye movement desensitization and reprocessing (EMDR) bij complexe posttraumatische stress-stoornissen [Eye movement desensitization and reprocessing (EMDR) in complex post traumatic stress disorder]. In P. G. H. Aarts and W. D. Visser (Eds.), Trauma: diagnostiek en behandeling (2druk.), (pp. 231-252). Houten/Diegem: Bohn Stafleu van Loghum.

Language: Dutch

Format: Book Section

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd eind jaren tachtig geïntroduceerd door de Amerikaanse psychologe Shapiro (1989a) als een nieuwe methode voor de behandeling van PTSS en andere aan trauma gerelateerde psychische aandoeningen. Kenmerkend onderdeel van de procedure is dat de patiënt wordt gevraagd de traumatische herinnering in gedachten op te roepen en zich te concentreren op (1) het meest akelige beeld, (2) de daaraan verbonden betekenis, (3) het actuele affect en (4) de somatische reacties, waarna een afleidende stimulus wordt aangeboden. Voorbeelden van dergelijke stimuli zijn ritmische, bilaterale tonen en linksrechts alternerende handtaps. Maar de meest bekende en meeste gebruikte methode – EMDR ontleent hieraan immers haar naam –is de patiënt te vragen met de ogen de hand van de therapeut te volgen, terwijl deze een aantal snelle bewegingen in het horizontale vlak maakt.

Eye Movement Desensitization and Reprocessing (EMDR) was introduced in the late eighties by the American psychologist Shapiro (1989a) as a new method for the treatment of PTSD and other trauma related mental disorders. Distinctive aspect of procedure is that the patient is asked the traumatic memory in mind to recall and concentrate on (1) the most dismal image, (2) the associated significance, (3) affect the current and (4) the somatic responses, after which a distracting stimulus is presented. Examples of such incentives are rhythmic, bilateral left and right show alternating hand taps. But the most famous and most used method - this is EMDR derives its name, the patient questions through the eyes of the therapist to follow, while a number of rapid movements in the horizontal plane makes

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

Accuracy Verified: Yes

96. ten Broeke, E., & de Jongh, A. (1999). Eye movement desensitization and reprocessing (EMDR) bij complexe posttraumatische stress-stoornissen [Eye movement desensitization and reprocessing (EMDR)in complex post traumatic stress disorder]. In P. G. H. Aarts and W. D. Visser (Eds.), Trauma: diagnostiek en behandeling (pp. 321-338). Houten/Diegem: Bohn Stafleu van Loghum.

Language: German

Format: Book Section

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd eind jaren tachtig geïntroduceerd door de Amerikaanse psychologe Shapiro (1989a) als een nieuwe methode voor de behandeling van PTSS en andere aan trauma gerelateerde psychische aandoeningen. Kenmerkend onderdeel van de procedure is dat de patiënt wordt gevraagd de traumatische herinnering in gedachten op te roepen en zich te concentreren op (1) het meest akelige beeld, (2) de daaraan verbonden betekenis, (3) het actuele affect en (4) de somatische reacties, waarna een afleidende stimulus wordt aangeboden. Voorbeelden van dergelijke stimuli zijn ritmische, bilaterale tonen en linksrechts alternerende handtaps. Maar de meest bekende en meeste gebruikte methode – EMDR ontleent hieraan immers haar naam –is de patiënt te vragen met de ogen de hand van de therapeut te volgen, terwijl deze een aantal snelle bewegingen in het horizontale vlak maakt.

Eye Movement Desensitization and Reprocessing (EMDR) was late eighty introduced by the American psychologist Shapiro (1989a) as a new method for the treatment of PTSD and other trauma related mental disorders. Distinctive aspect of procedure is that the patient is asked the traumatic memory in mind to recall and concentrate on (1) the most dismal image, (2) the associated significance, (3) affect the current and (4) the somatic responses, after which a distracting stimulus is presented. Examples of such incentives are rhythmic, bilateral left and right show alternating hand taps. But the most famous and most used method - this is EMDR derives its name, the patient questions with the eyes by the therapist to follow, while a number of rapid movements in the horizontal plane makes.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

Accuracy Verified: Yes

97. Ali, M. W., & Rana, M. H. (2008, June). Eye movement desensitization and reprocessing (EMDR) in patients of PTSD following earthquake 2005, Pakistan. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Objective: The purpose of the study is to asses the usefulness of EMDR in patients of PTSD who survived the October 2005 earthquake in Pakistan. Background: On October the 8th an earthquake of 7.6 on rector scale struck Kashmir and Northwest of Pakistan leaving millions injured and more than 80,000 dead. A survey of the affected areas has shown a high prevalence of PTSD amongst the survivors. A selected series of patients with the diagnosis of PTSD from amongst the survivors is enrolled for EMDR at CTRPI. The study is based on their response to this intervention. Design and Settings: The study involves an ongoing compilation of clinical data and the study of therapeutic responses to various interventions including EMDR, at a tertiary mental health facility and Centre for Trauma Research and Psychosocial Interventions (CTRPI), Rawalpindi /Islamabad, Pakistan. This mental health facility is the tertiary care referral point for patients from metal health relief units located allover in earthquake affected areas of Azad Kashmir and Northwest of Pakistan. Method: Earthquake survivors who develop psychosocial sequelae referred to CTRPI from Kashmir, who go on to fulfill the criteria of Post-traumatic Stress Disorder according to ICD-10 are registered for further studies and appropriate interventions. A select group who give informed consent for EMDR are then included for detailed evaluation and follow up. Sessions are conducted in eight phases from manuals by therapists who are trained till level 2 in the method. Pre- treatment assessment is done by an independent assessor for scores on Impact of Event Scale and Global Assessment of Functioning (GAF). The post treatment assessment is conducted 1 week after the treatment with the same procedures as at pretreatment. In session Scoring of subjective unit of distress is also recorded serially. According to the degree of improvement and severity of illness, sessions of EMDR are carried out with the duration of about 60 to 90 minutes each session and with a minimum of 6 sessions using the bilateral stimulation. The authors plan to compile their work with ten patients who fulfill the prerequisites of the study in process. Results: The work has been done so far on three clients which suggest that EMDR is effective in reducing the scores of IES back to normal and there is marked difference in the GAF level after the said intervention. It has a dramatic effect on 29 within-session SUD levels .Furthermore, at a qualitative level it is observed that involvement of other family members in the therapeutic process may improve treatment adherence. Conclusions: Ongoing results of this study tend to suggest that the EMDR is an effective intervention for patients of PTSD following a natural disaster like an earth quake. However, the results drawn cannot be generalized on account of their small count.

Keywords: Earthquake  Pakistan  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

98. D’Andrea, L. M., D’Andrea, L., & Detweiler, J. (2003, Spring). Eye movement desensitization and reprocessing (EMDR):  A closer look at treatment outcome. Trauma and Loss:  Research and Interventions, 3(1), 9-19.

Language: English

Format: Journal

Abstract:
EMDR therapy, using bilateral audio-tones as the stimulus, was given to 30 women for two to six sessions (the number determined by the individual). Results from the Impact of Event Scale (IES) and the State-Trait Anxiety Inventory (STAI) suggested that treatment was moderately successful for the study sample. Analysis of pre- and post-treatment item responses suggested individuals who benefited from EMDR had significant reductions in intrusion and avoidance behaviors. The need to look beyond sample-mean comparisons and focus on scale-item analysis is discussed. [Author abstract]

Keywords: Adults  Americans  Females  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

99. Bolen, D. W. (1999, August). Eye movement desensitization reprocessing for the treatment of anxiety in psychology internship applicants: An interrupted time series design. The Chicago School - School of Professional Psychology, Chicago, IL. AAT 9920131.

Language: English

Format: Dissertation/Thesis

Abstract:
This study used an interrupted time series design to study the effectiveness of Eye Movement Desensitization Processing (EMDR) on the anxiety levels of 17 psychology graduate student participants who were in the process of applying to psychology internship sites. Participants were screened for pathology using the Symptom Checklist - Revised. Anxiety was assessed four times using the State Trait Anxiety Scale, twice prior to and twice following treatment with EMDR. Additionally, in an attempt to the account for some of the error variance due to history, the Schedule of Recent Events was given twice during the study, once prior to the EMDR treatment and once along with the final administration of the State Trait Anxiety Scale. Additional information about the effects of EMDR on anxiety, were obtained by monitoring heart rate and blood pressure changes during EMDR treatment for half of the participants. A dependent t-test on pre- and post-EMDR State Trait Anxiety Scale data failed to yield significant results. Other analyses also showed no effect of treatment. However, visual inspection of the data suggested that EMDR may have been effective for some participants. The range and diversity of participant's responses to anxiety over the course of the study, the relatively small sample size and design factors that increased the error variance were discussed in relation to the insignificant results. It was suggested that specific personality traits (e.g. characterological anxiety) and attributes of the distressing target event (e.g. amount of affect evoked) may act as intervening variables in an individual's response to EMDR treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(2-B), Aug 1999, pp. 0819.

Keywords: Anxiety  Empirical Study  Interrupted Time Series Design  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes

100. Kapoula, Z., Misset, P., Poncet, S., Bruneau, S., & Bucci, M. P. (2007, June). Eye movement patterns during the Rorschach test: Implications for EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
It is hypothesized that eye movements used in EMDR practice influence both memory and emotional state, some laboratory studies provide evidence for such influence (Christman et al, 2003, Neurobiology; Barrowcliff et al., J. Forensic Psychiatry and Psychology, 2004). From a neurophysiological point of view, it is also interesting to examine to what extent some eye movement parameters may be modulated by memory and emotions. For instance, it is well established that memory driven saccades in simplified laboratory tests, present different characteristics (longer preparation time, lower accuracy, lower velocity) than visually guided movement. During EMDR the eye movements (mostly pursuit) are elicited externally by the therapist, yet at the same time the patient is in touch mentally with the traumatic image and related negative emotions. The physiology of such movements might be different and this could be explored with specific studies. Another important issue is to what extent movements of the eyes are helpful in coding and retrieving visual images. Accordingly to scanpath theory, eye movements are cognitively driven by sensory and motor representation; repetitive eye movements to the same area of an image are attributed to checking if the image corresponds to what the observer imagines (Noton & Stack, 1971; Brandt & Stark, 1997). Future laboratory research could bring together such theories and EMDR psychotherapy, e.g., by examining spontaneous eye movements related to negative image.
In this conference, we will present preliminary data from a laboratory study on eye movement patterns during the Roschach test. Eight healthy students conducted the experiment. Seated in front of a computer screen, subjects were equipped with a binocular video eye tracker (Chronos) sampling eye position images from each eye every 4 msec. Instantaneous eye position data were stored on a computer and analyzed afterwards with laboratory software. Each are of the Roschach test was presented for 30 sec., after which, the experimenter (a psychologist) recorded the response given by the subject.
Analysis of eye movement patterns were examined in relation to subjective verbal reports.
Results: The first question asked was to what extent the eye movement pattern reflected the imaged projected by the subject or by the visual properties of the Rorschach image itself. To gain some insight, we concentrated on the cards for which our subjected gave no standard responses, thus very different from one subject to the other (e.g., card IX). Eye movement exploration (the surface of the image explored, its patiaol composition e.g. the resprctive proportion of horizontal versus vertical movements) was correlated with the verbal report and the specific mental imagery (larger surface, multiple focusing points when several personages or objects were imaged). This provides evident for top-down influence; the eyes are exploring the projective interpretative image; repetitive movements back and forth to same points which help in turn consolidate this mental imagery.
Psychological analysis of eye movements (saccades and fixation) was also made. Saccades are found to be as fast as when looking reflexively to single visual targets; during fixations, however, between saccades, the eyes were more instable, particularly the visual uses were crossing at different depths from one fixation to another. Further ongoing analysis will correlate fixation duration and depth instability to spatial and emotional content of the subjective report.

Keywords: Eye Movements  Mechanism of Action  Neurobiology  Poster  Rorschach Test  

Accuracy Verified: Yes

101. Merckelbach, H., Hogervost, E., Kampman, M., & de Jongh, A. (1994, March). Eye-movement-desensitization heeft geen effect op emotionele reactiviteit van 'normale' proefpersonen [Eye movement desensitization has no effect on the emotional reactivity of normal test subjects]. Gedragstherapie, 27(1), 33-49.

Language: Dutch

Format: Magazine

Abstract:
Verschillende single-case studies hebben gesuggereerd dat posttraumatische stress-symptomen en andere angst-gerelateerde problemen kunnen succesvol worden behandeld met een sessie van de oogbeweging desensibilisatie (EMD). Twee experimenten werden uitgevoerd om te onderzoeken of EMD de emotionele reactie van de normale proefpersonen beïnvloedt. In het eerste experiment kregen de proefpersonen (N = 40) blijkt een aversieve dia. Vervolgens helft van de proefpersonen ondergingen EMD, terwijl ze repeteerden de dia informatie, en de andere helft onderging een controle-procedure (dwz de vinger te tikken), terwijl het verbeelden van de glijbaan. Voor en na de interventie (dat wil zeggen, EMD vs vinger te tikken), werden de hartslag en de self-report gegevens die zijn verkregen terwijl proefpersonen repeteerde de dia. Er werd geen bewijs gevonden dat EMD de emotionele impact van de aversieve dia verlaagd. Het tweede experiment werd uitgevoerd langs dezelfde lijnen. Echter, dit keer proefpersonen (N = 28) repeteerde een pijnlijke gebeurtenis die zij onlangs had ervaren. Verder werd een cognitieve 'opwerking' component toegevoegd aan de EMD procedure. Toch heeft geen bevindingen ondersteunen het idee dat EMD emotionele reactiviteit remt om een grotere mate dan de vinger te tikken. Tezamen zijn de resultaten van beide experimenten niet bemoedigend, ze suggereren dat placebo-effecten en de vraag naar kenmerken rekening kan worden gehouden voor het spectaculaire succes van EMD.

Several single-case studies have suggested that posttraumatic stress symptoms and other anxiety-related problems can be successfully treated with one session of eye movement desensitization (EMD). Two experiments were carried out to examine whether EMD affects the emotional response of normal subjects. In the first experiment, subjects (N = 40) were shown an aversive slide. Next, half of the subjects underwent EMD while they rehearsed the slide information, and the other half underwent a control procedure (i.e., finger tapping) while imagining the slide. Before and after the intervention (i.e., EMD vs. finger tapping), heart rate and self-report data were obtained while subjects rehearsed the slide. No evidence was found to suggest that EMD reduced the emotional impact of the aversive slide. The second experiment was conducted along similar lines. However, this time subjects (N = 28) rehearsed an embarrassing event that they had recently experienced. Furthermore, a cognitive 'reprocessing' component was added to the EMD procedure. Nevertheless, findings did not support the idea that EMD inhibits emotional reactivity to greater extent than finger tapping. Taken together, the results of both experiments are not encouraging; they suggest that placebo effects and demand characteristics may account for the spectacular success of EMD.

Keywords: Aversive Stimulation  Emotional Responses  Eye Movements  Systematic Desensitization Therapy  

Accuracy Verified: Yes

102. Andrade, J., Kavanagh, D., & Baddeley, A. (1997, May). Eye-movements and visual imagery:  A working memory approach to the treatment of post-traumatic stress disorder. British Journal of Clinical Psychology, 36(2), 209-223. doi:10.1111/j.2044-8260.1997.tb01408.x.

Language: English

Format: Journal

Abstract:
It has been claimed that the symptoms of post-traumatic stress disorder (PTSD) can be ameliorated by eye-movement desensitization-reprocessing therapy (EMD-R), a procedure that involves the individual making saccadic eye-movements while imagining the traumatic event. We hypothesized that these eye-movements reduce the vividness of distressing images by disrupting the function of the visuospatial sketchpad (VSSP) of working memory, and that by doing so they reduce the intensity of the emotion associated with the image. This hypothesis was tested by asking non-PTSD participants to form images of neutral and negative pictures under dual task conditions. Their images were less vivid with concurrent eye-movements and with a concurrent spatial tapping task that did not involve eye-movements. In the first three experiments, these secondary tasks did not consistently affect participants' emotional responses to the images. However, Expt 4 used personal recollections as stimuli for the imagery task, and demonstrated a significant reduction in emotional response under the same dual task conditions. These results suggest that, if EMD-R works, it does so by reducing the vividness and emotiveness of traumatic images via the VSSP of working memory. Other visuospatial tasks may also be of therapeutic value (PubMed).

Keywords: Australia  Empirical Study  Eye movements  Experimental Stressors  Pictorial Stimuli  Posttraumatic Stress Disorder  PTSD  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

103. Barrowcliff, A. L., Gray, N. S., Freeman, T. C. A., & MacCulloch, M. J. (2004, June). Eye-movements reduce the vividness, emotional valence and electrodermal arousal associated with negative autobiographical memories. Journal of Forensic Psychiatry and Psychology, 15(2), 325–345. doi:10.1080/14789940410001673042.

Language: English

Format: Journal

Abstract:
The aim of this study was to examine the effect of eyemovements on subjective and psychophysiological measures of arousal and distress associated with positive and negative autobiographical memories. These memories were ‘brought-to-mind’ whilst engaging in eye-movement or eyes-stationary conditions in a counterbalanced within subjects design, with pre and post eye-condition subjective ratings of emotional valence and image vividness. Participants also rated current symptomatology associated with negative memories using the Impact of Events Scale. Engagement in eye-movements compared to the eyes-stationary condition resulted in significant reductions on measures of vividness and emotional valence for both positive and negative autobiographical memories. Reductions in electrodermal arousal were only observed when engaging in eye-movements following elicitation of the negative memory. This effect was observed independently of symptom severity.

Keywords: Eye Movements  

Accuracy Verified: Yes

104. Gomory, T. (2001, January ). A fallibilistic response to Thyer’s theory of theory-free empirical research in social work practice. Journal of Social Work Education, 37(1), 26-50.

Language: English

Format: Journal

Abstract:
The author responses to the professor B.A. Thyer's theory of theory-free empirical research in social work practice. Thyer provides a number of examples in the present article, several apparently by his doctoral students. It is not quite clear what he means when he offers them in the spirit of these contemporary qualitative times as anecdotal examples of this distortion of the research process, except to suggest that these case examples are just personal reflections and are not therefore to be taken seriously. That would be most unempirical and to no point. It seems at least to this reviewer that a set of theoretical conjectures formalized in a treatment package was being tested, perhaps something to the effect that the provision of education about the consequence of compliance or noncompliance together with case management support and reminders will significantly improve maternal compliance. Thyer apparently doesn't recognize this as theory testing or using theory, but he would need to spell out specifically why, for example, case management is a theory-free intervention.[Author's abstract]

Keywords: Theory-Free Empirical Research  Thyer  

Accuracy Verified: Yes

105. Maccio, E., Monaco, A., & Evans, D. (2001, June). Fix my kid!:  Using EMDR with adolescents with conduct problems within a family therapy context. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) recognize adolescent clinical presentations; 2) incorporate EMDR into family therapy; 3) engage/motivate resistant youth; 4) identify stressors; 5) differentiate various non-responses; and 6) learn new methods of approaching the treatment protocol.

Keywords: Adolescents  Conduct Disorders  

Accuracy Verified: Yes

106. Fay, D., Corrigan, F. Fisher, J., Galloway, J., & Mcafee, F. (2010, April). An fMRI study of the integration of “Becoming safely embodied” and EMDR techniques for the de-activation of fear motor neurocircuitry. Symposium presented at the 2nd Bi-Annual International European Society for Trauma and Dissociation, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
An fMRI Study of the Integration of “Becoming Safely Embodied” and EMDR Techniques for the De-Activation of Fear Motor Neurocircuitry Frank Corrigan, Consulting Psychiatist, Argyll & Bute Hospital, Lochgilphead, Argyll This panel discussion explores brain imaging results using BSE skills activating left anterior insula intensified with alternating bilateral stimulation (ABS) from Eye Movement Desensitisation and Reprocessing (Shapiro 1992). It suggests positive feelings associated with brain activations deactivate areas involved in motor responses to threat.

Keywords: Fear Motor Neurocircuitry  fMRI Study  

Accuracy Verified: Yes

107. Sime, W. (1999). From critic to consumer: Evolving personal conceptions of EMDR applications in sport psychology. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.

Language: English

Format: Conference

Abstract:
Initial responses of this presenter to EMDRIA years ago were not favorable. Now there is cautious optimism that the procedure is safe, valid, and effective. While multichannel EEG wave forms do not reveal a significant change in brain state before and after a bout of training, there may be more quantifiable measures with newer brain mapping procedures. Successful cases have been seen ranging from severely injured athletes fearful of return to competition to an obsessive/compulsive disorder involving exercise as the repetitive, problematic behavior. Ironically, the procedure itself is so routine that it probably is used unknowingly by some elite athletes who have developed preperformance routines that involve repetitive left/right motions or eye movement. Regardless of the function, process, and mechanism of action, it would appear that EMDR is a promising technique that can be applied effectively with athletes who have injury and/or performance breakdown

Keywords: Athletes  Performance Breakdown  Sports Psychology  Symposium  

Accuracy Verified: Yes

108. Page, M. G. (2007, July). Gathering objective data from assessment to discharge in EMDR therapy: Galvanic skin responses, verbal prompts and tactile desensitization. EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
This study shows how three changes (one addition to the EMDR protocol, plus two alterations) were used in the treatment of anxiety disorders. The addition to the EMDR protocol was: 1) The use of Galvanic Skin Response (GSR) monitors to provide a constant flow of objective, testable and measurable data specific to the experience of suffering or disturbance, exclusively to the clinician (and not to the patient) throughout the therapy process, The two other alterations were: 2) Incorporating specifically targeted verbal prompts at various points in the process, thus serving to maintain the patients emotional and intellectual focus on the experience of suffering the presenting disorder. 3) Allowing the patient to close his or her eyes and using tactile desensitization and reprocessing rather than eye movements, thereby allowing the patient to maintain the mental imagery specific to the suffering. The study group achieved beneficial outcomes sooner and more effectively than the control group who were given standard EMDR therapy.[Author abstract]

Keywords: Galvanic Skin Response  Tactile Desensitization  Verbal Prompts  

Accuracy Verified: Yes

109. Wesselmann, D. (1999, June). Generational problems in parenting:  Intervening with attachment disordered adults. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will be able to 1) define parent-child attachment, identify the factors that insure a secure attachment, as well as the 1ife-long positive effects; 2) identify how an insecure chidhood attachment history can affect core beliefs into adulthood and get carried over into the next generation of parenting; 3) help parents target the negative misperceptions that rule their emotional responses when they interact with their children and identify possible alternative positive cognitions before EMDR processing; and 4) use the egogram as a roadmap with attachment disordered adults, using EMDR to strengthen the competent adult and nurturing parent ego-states and separate the child ego-state from the parenting role.

Keywords: Egogram  Parent-Child Attachment  

Accuracy Verified: Yes

110. Gaynor, S. T. (2002). Getting ahead of the data: Not all threats are equal. the Behavior Therapist, 25(7/8), 137-139.

Language: English

Format: Newsletter

Abstract:
I have different replies to the two responses to my recent paper (Corrigan, 2001). Thanks to Gaynor (2002) for providing single-subject evidence about Functional Analytic Psychotherapy (FAP). My goal was not to dismiss FAP or any of the other therapies as ineffective. Rather, I wanted to encourage researchers to look at the data, much as Gaynor has done here. It also seems that Gaynor and I agree that “going beyond the data in promoting and disseminating new treatments” should be a matter of concern to behavior therapists. We seem to part company in considering when specific therapies fall in this error. Gaynor seems to view behavior therapy more liberally, suggesting the dissemination of FAP before its empirical findings are obtained serves the purpose of promoting discussion and research. I have a more conservative view. Therapies and data are co-synchronous; one should not precede the other

Keywords: Acceptance & Commitment Therapy  Behavior Therapy  Dialectical Behavior Therapy  Functional Analytic Psychotherapy  Letter  

Accuracy Verified: Yes

111. Wesselmann, D. (2003, September). Ghosts in the nursery: Interrupting the cycle of poor parenting. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Parents' earliest experiences in childhood directly impact their attachment relationship with their own children. The presenter will identify specific negative cognitions which directly impede parent's interaction with their children. Participants will learn strategies for engaging parents in the therapy and helping parents increase their capacity to attune emotionally and to nurture. The "floatback technique" will be outlined as a method for increasing parental insight and helping parents identify past traumas related to current negative responses to their children, which can then be reprocessed through EMDR. lnstallation of a future template for more effective parenting will also be demonstrated.

Keywords: Negative Cognitions  Floatback Technique  Parenting  

Accuracy Verified: Yes

112. Pagani, M. (2010, June). Gray matter density is associated with EMDR outcome in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder patients. Eye Movement Desensitization Reprocessing (EMDR) is currently used to treat PTSD but its neurobiological implications are still unknown. The aim of this study was to evaluate GM density in PTSD relation to trauma load, and to assess the GM differences between responders (R) and non-responders (NR) to EMDR therapy. Structured clinical interviews for DSM-IV Axis I Disorders were carried out before and after EMDR treatment. Those who no longer fulfilled the DSM-IV criteria for PTSD were classified as R and those who still met the diagnostic criteria of PTSD after treatment were classified as NR. Two scales 0f self-related Trauma Antecedent Questionnaire (‘trauma and neglect’ TAQ-, and ‘resilience factors’ TAQ+), were administered to assess lifelong trauma load and resilience. Magnetic Resonance Imaging (MRI) scans 10 R and of 5 NR were compared before therapy by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. For group analysis, a threshold of p<0.05 corrected for multiple comparisons at cluster level and an uncorrected threshold of p <0.001 at voxel-level were used. NR subjects showed no significant differences nor in TAQ- scores neither in TAQ+ as compared to R(t=0.140, p+0.891). The contract R>NR exhibited a significant GM lower density in NR as compared to R in three different cluster: the first bilaterally located over posterior cingulate (Brodmann Areas, Bas 23 and 31); the second centered over the left precentral (BA 4), middle and medial frontal gyri (BA 6); the third including anterior insula (BA 13), and the complex anterior parahippocampal gyrus/amygdala, over the right hemisphere. To our knowledge, this is the first study investigating GM alterations with a VBM approach in a sample of PTSD patients respond and non responding to EMDR therapy. Posterior cingulate, parahippocampal and insular lower GM concentrations have been found to relate to responsiveness to EMDR therapy suggesting a high vulnerability of these structures to the effects of stress and trauma. These regions are well known to be implicated in processes such as: integration, encoding and retrieval of autobiographical and episodic memories; emotional processing, interoceptive awareness and sefl-referential conscious experience. Thus, our study supports lower GM densities in limbic and paralimbic cortices as a potential structural basis for memory and dissociative dysfunction in PTSD. Using such methodological approach can contribute to better understand the neurostructural basis for traumatic responses and their treatment. The goals for the audience are: 1. To understand the methodological research principles; 2. To be updated on neurobiological research in EMDR; 3. to be informed on the neural basis of EMDR.

Keywords: Gray Matter  Posttraumatic Stress Disorder  PTSD  Research  Symposium  

Accuracy Verified: Yes

113. Forgash, C. A. (2005, June). Healing complex trauma through EMDR, ego state therapy and somasensory work:  Healing the heart of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
The integration of Ego state and Somatosensory work and EMDR will be shown to help patients with Complex PTSD repair fragmentation. disconnections and develop the safety to utilize EMDR successfully.
Although complex trauma victims are seeking help for PTSD. depression and anxiety, additional trauma responses may lead them to encounter difficulty in dealing with triggers, stress and relationships.
The sequential exercises presented will provide stability for dissociated "parts" unable to cope with symptoms.
Learning Objectives include the importance of including information in the history taking about inability to love. fragmentation, and alienation; defining and selecting the appropriate ego state/somatosensory/affect management strategies to help challenging clients.

Keywords: Complex Trauma  Ego State Therapy  Somasensory  

Accuracy Verified: Yes

114. Forgash, C. (2004, June). Healing the heart of trauma: Restoring connections and stability. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
When trauma victims enter therapy, they generally seek help for symptoms of PTSD, depression and anxiety. However, additional trauma responses may lead the client to encounter difficulty in dealing with the trauma and also with the trauma and also with relationships in their life. These responses also include the inability to love, nurture and bond with other individuals (even those currently in relationship to victim). These clients often experience feeling internally fragmented, detached, alienated and fearfully isolated. Gathering this information is an important part of history taking and becomes crucial to treatment planning. The aim of this presentation is to help clinicians learn to implement strategies that help traumatized clients to experience reconnection, stability, and then, trauma processing. Integrating ego state strategies with the preparation phase of the EMDR protocol results in a safety/stability focused therapeutic approach necessary for these clients to resolve the sequelae of trauma.
Emphasis is placed on the sequential formulation of guided imaginal and somatosensory exercises (enhanced with DAW) that provide stability for the dissociated aspects of the self unable to cope with symptoms and current stresses. The central work includes the development of an internal Home Base, Workplace, and a positive body resource that compliments the standard safe place/stress reduction work. Stabilizing exercises include constructive avoidance, distancing, grounding, containment as well as affect and dissociative symptom management techniques. When stabilized, client’s access and work with their ego state system to resolve conflicts, develop resources, reconnect and then successfully desensitize and reprocess trauma.
Learning objective include: the importance of including information in the history taking about an inability to love, loss of connections, fragmentation, detachment and alienation; defining the ego state strategies that help such client s successfully process traumas with the EMDR protocol; learning the preparation exercises for managing affect and dissociative symptoms. Participants will select the appropriate interventions to help trauma clients reconnect with dissociated, disconnected parts and employ this sequential method in their practice with traumatized clients.

Keywords: Affect Theory  

Accuracy Verified: Yes

115. Forgash, C. A. (2004, September). Healing the heart of trauma:  Restoring connections and stability. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Trauma victims enter therapy seeking help with the symptoms of PTSD, depression and anxiety. Additional trauma responses lead the client to encounter difficulty in dealing with trauma as well as with relationships. This can include the inability to love, nurture and bond with other individuals (even those currently in relationship with the victim). Integrating ego state strategies into the preparation phase of the standard protocol results in a safety and stability focused therapeutic approach. The emphasis in this presentation will be on developing interventions that provide stability and reconnection for the aspects of the self unable to cope with symptoms and life stresses and help clients access/work with their ego state system to desensitize and reprocess trauma.

Keywords: Connections  Stability  

Accuracy Verified: Yes

116. Shapiro, F. (2012, August 29). Helping you and your children make it through divorce. Huffington Post. Retrieved from on http://www.huffingtonpost.com/francine-shapiro-phd/helping-you-and-your-chil_2_b_1837948.html?utm_hp_ref=divorce-advice 9/5/2012..

Language: English

Format: Other

Abstract:
The need to regulate your own responses cannot be overstated. Your anger, depression or anxiety can cause lifelong problems for your children. Remember, just because negative reactions emerge does not make them true or useful. Self-help techniques can help you stay in control. You can find some in my book, Getting Past Your Past: Take Control of Your Life with Self-Help Techniques from EMDR Therapy. For instance, one adult client kept rehashing a fight. Another child client kept seeing his father angrily walk out the door for the last time. You can help yourself and your children get rid of distressing mental pictures by imagining it on top of paint in a can. Then, just stir it up. That disrupts "working memory" and makes it go away. You can also use other techniques to immediately change negative emotions or thoughts. This will empower both you and your children. It will also allow you to be present with your children and show enough happiness so they don't feel like they have to take care of you. No child deserves that burden. [Exceprt]

Keywords: Blog  Divorce  

Accuracy Verified: Yes

117. Ichii, M., Amano, T., & Yoshikawa, H. (2012, June). Hemodynamic responses during EMDR treatment of traumatic memory [Respuestas hemodinámicas durante el tratamiento de memorias traumáticas con EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
In order to investigate brain activity during EMDR, 52-channel NIRS（near –infrared spectroscopy) and heart rate were measured in treating a traumatic memory of non-clinical twenty five year old woman. A target memory was sexually molestation by a stranger when she was ten years old, and forced to touch penis of perpetrator. And IES-R score was as low as 11. A well-experienced EMDR therapist (=M.I.) applied estandarized EMDR protocol. Negative cognition was “I am shameful person”, and positive cognition was ”I deserve to live.” The body location is both arms and hands. By thirty-seven sets of EM, 7.5 level of SUDs decreased to 0, and VOC went up from 3.5 to 7. The [oxy-Hb] change in right orbitofrontal cortex increased as the negative emotion went up, and decreased rapidly after processing. The [oxy-Hb] change in left orbitofrontal cortex decreased just after cognitive interweave of responsibility was done. The [oxy-Hb] variation in right temporal lobe increased rapidly, and the [oxy-Hb] change in left temporal lobe decreased when direction of EM was changed from horizontal to diagonal movement when negative imagery disappeared. Heart rate data show gradual decreasing tendency throughout the session. Within each set, heart rate also decreased by EM. By monitoring NIRS, various techniques or pivotal processes in EMDR may be supposed to influence brain. In order to confirm the relationship, we should collect data from more subjects.

Para poder investigar la actividad cerebral durante EMDR, se midieron la NIRS (espectroscopia cercana al infrarrojo) de 52 canales y el ritmo cardíaco para tratar los recuerdos traumático de una mujer no clínica de veinticinco años. Un recuerdo diana fue un abuso sexual de un extraño cuando tenía 10 años y el agresor la obligó a tocarle el pene. La puntuación del IES-­‐R fue de 11. Un terapeuta EMDR con experiencia (=M.I.) aplicó el protocolo estándar de EMDR. La cognición negativa fue “Soy una persona vergonzosa”, y la cognición positiva fue ”Merezco vivir.” La localización corporal fue en ambos brazos y manos. Después de 37 sets de movimientos oculares, el SUD de 7,5 bajó a 0, y el VOC subió de un 3,5 a un 7. El cambio [oxy-­‐Hb] en el córtex órbitofrontal derecho aumentó a medida que aumentaba la emoción negativa, y disminuyó rápidamente después del procesamiento. El cambio [oxy-­‐Hb] en el córtex órbitofrontal izquierdo disminuyó justo después de hacerse un entrelazado cognitivo de responsabilidad. La variación [oxy-­‐Hb] en el lóbulo temporal derecho aumentó rápidamente, y el cambio [oxy-­‐Hb] en el lóbulo temporal izquierdo disminuyó al cambiar la dirección de los movimientos oculares de horizontal a diagonal cuando desapareció la imagen negativa. Los datos del ritmo cardíaco muestran una tendencia decreciente gradual a lo largo de la sesión. En cada una de las tandas, el ritmo cardíaco también disminuyó por los movimientos oculares. A través de monitorear el NIRS, se supone que diversas técnicas o procesos centrales en EMDR influyen en el cerebro. Para poder confirmar esta relación, deberíamos recolectar datos de más sujetos.

Keywords: Hemodynamic Responses  

Accuracy Verified: Yes

118. Ohtani, T., Matsuo, K., Kasai, K., Kato, T., & Kato, N. (2009, December). Hemodynamic responses of eye movement desensitization and reprocessing in posttraumatic stress disorder. Neuroscience Research, 65(4), 375-383. doi:10.1016/j.neures.2009.08.014.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is an effective psychological intervention for posttraumatic stress disorder (PTSD). Trauma-related recall (Recall) with eye movements (EMs) is thought to reduce distress. However, the neural mechanisms underlying this process remain unknown. Thirteen patients with PTSD received EMDR treatment over the course of 2 to 10 weeks. We assessed the change in hemoglobin concentration in the lateral prefrontal cortex (PFC) during Recall with and without EM using multi-channel near-infrared spectroscopy (NIRS). Clinical diagnosis and improvement were evaluated using the Clinician-Administered PTSD Scale. Recall with EM was associated with a significant decrease in oxygenated hemoglobin concentration ([oxy-Hb]) in the lateral PFC as compared with Recall without EM. Longitudinally, [oxy-Hb] during Recall significantly decreased and the amount of decrease was significantly correlated with clinical improvement when the post-treatment data was compared with that of the pre-treatment. Our results suggest that performing EM during Recall reduces the over-activity of the lateral PFC, which may be part of the biological basis for the efficacy of EMDR in PTSD. NIRS may be a useful tool for objective assessment of psychological intervention in PTSD.

Keywords: Hemodynamic Responses  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

119. van der Zee, H., & Zaal, A. (2011, April). Het emotionele brein; EMDR & neuropsychologie [The emotional brain, EMDR & neuropsychology]. Presentatie op de 5e Jaarlijkse Conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Het menselijk brein is bijzonder veerkrachtig. Als gevolg op een traumatische ervaring ontstaat er in het lichaam een keten aan reacties. De meeste van deze reacties zijn adaptief en gericht op een natuurlijke verwerking. Bij 10 tot 20 % van de mensen die een traumatische ervaring meemaken verloopt de verwerking pathologisch en ontstaat een post traumatische stress stoornis. Lichamelijke veranderingen als gevolg van langdurige stress of een genetische gevoeligheid kunnen hierbij een rol spelen. Bij de verwerking van emotionele gebeurtenissen en psychotrauma zijn verschillende hersenstructuren betrokken. In deze presentatie zal een toelichting worden gegeven op biologische factoren bij het ontstaan van psychotrauma en de rol van ‘ het emotionele brein’ bij traumaverwerking. Ook zal worden ingegaan op de wijze waarop bilaterale stimulatie deze processen mogelijk beïnvloed en hoe dit zich verhoudt tot vigerende verklaringsmodellen over de werkzaamheid van EMDR. Tot slot wordt een casus gepresenteerd waarbij EMDR is toegepast in een neuropsychologische behandeling en is er ruimte voor discussie over de toepassing van EMDR bij neuropsychologische problematiek.

The human brain is very resilient. Due to a traumatic experience develops in the body of a chain reaction. Most of these responses are adaptive and focused on a natural process. At 10 to 20% of people who experience a traumatic experience does the pathological process and creates a post-traumatic stress disorder. Physical changes resulting from prolonged stress or a genetic susceptibility may play a role. In the processing of emotional events and psychotrauma several brain structures involved. This presentation will be given an explanation on biological factors in the development of psychotrauma and the role of the emotional brain in trauma. It will also examine how these processes affect bilateral stimulation and how this relates to current models of explanation about the efficacy of EMDR. Finally, a case presented which EMDR was used in a neuropsychological treatment and there is room for discussion about the use of EMDR with neuropsychological problems.

Keywords: Neurobiology  Neuropsychology  

Accuracy Verified: Yes

120. Engelhard, I. M., van den Hout, M. A., & van Uijen, S. L. (2011, May). Het vervagen van negatieve en positieve herinneringen [The blurring of negative and positive memories]. Psychologie & Gezondheid, 39(2), 61-69. doi:10.1007/s12483-011-0017-5.

Language: Dutch

Format: Journal

Abstract:
Earlier studies have shown that horizontal eye movements (EM) during retrieval of a negative memory reduce its vividness and emotionality. This may be due to both tasks competing for working memory (WM) resources. This study examined whether playing the computer game “Tetris” also blurs memory. Participants recalled negative and positive memories in three conditions: recall only, recall with concurrent EM, and recall with playing Tetris. Before and after these conditions, vividness, emotionality, and physiological startle responses during recall were measured. A reaction time task showed that EM and Tetris both draw on WM, compared to no dual-task. Compared to recall only, EMand Tetris both decreased reported emotionality and startle responses. The effects of EM and Tetris did not differ, even though the tasks differed in the degree of taxing WM. This suggests that taxing WM and its effects on emotional memories may not be linearly related. Potential clinical implications are discussed.

Keywords: Memory Retrieval  Tetris  

Accuracy Verified: Yes

121. Verstraaten, M. J., & van Vliet, E. (2009, Juni). Het werkzame mechanisme van eye movement desensitization and reprocessing (EMDR): Is dit het van een afstand bekijken of het herbeleven van een traumatische gebeurtenis? [The active mechanism of eye movement desensitization and reprocessing (EMDR): Is this the view from a distance or reliving a traumatic event?]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Dit onderzoek is een replicatie van de studie van Lee, Taylor en Drummond (2006) waarin de werkingsmechanismen beschrijft tijdens een desensibilisatie Eye Movement and Reprocessing (EMDR) behandeling. Deze studie onderzocht of er een relatie is tussen verbetering van de symptomen en de manier waarop de cliënt ziet de traumatische gebeurtenis, is dit vanuit een oogpunt van vrijstaande (afstand) of wanneer het trauma opnieuw wordt ervaren (herbeleving). De reacties van de 30 klanten tijdens een EMDR sessie, worden ingedeeld in vier categorieën volgens de classificatie van Lee et al.. (2006) (distantiëring, herbeleven, beïnvloeden en verbonden). Toegevoegd in dit onderzoek is de categorie onbeslist. De resultaten laten zien is er geen verschil in de antwoorden die tijdens een EMDR sessie en de vermindering van PTSS-symptomen (gemeten met de Nederlandse versie van de Impact of Event Scale) en van het verdriet (gemeten met de subjectieve Eenheden van Disturbance Scale). Alle reacties zijn gerelateerd aan een verbetering, ongeacht de categorie. Deze resultaten zijn niet in overeenstemming met de bevindingen van Lee et al.. (2006) die aantonen dat afstand-reacties zijn geassocieerd met een grotere vermindering van de symptomen dan herbeleven-reacties. Naast Lee et al.. (2006), de huidige studie is gebleken dat zowel de aard van het trauma (opzettelijk of niet opzettelijk) alsmede de negatieve cognitie van een cliënt (onmacht of eigenwaarde) niet zijn geassocieerd met een verbetering van de symptomen tijdens de EMDR behandeling. Toekomstig onderzoek kan bijdragen aan kennis over andere factoren die geassocieerd kan worden met de effectiviteit van EMDR.

This research is a replication of the study of Lee, Taylor and Drummond (2006) which describes the working mechanisms during an Eye Movement Desensitization and Reprocessing (EMDR) treatment. This study tested whether there is a relation between improvement in symptoms and the way the client sees the traumatic event; is this from a detached point of view (distancing) or when the trauma is re-experienced (reliving).The responses of 30 clients during an EMDR session, are classified into four categories according to the classification of Lee et al. (2006) (distancing, reliving, affect and associated). Added in this study is the category undecided. The results show there is no difference in the responses given during an EMDR session and the reduction of PTSD-symptoms (measured with the Dutch version of the Impact of Event Scale) and of the distress (measured with the Subjective Units of Disturbance Scale). All the responses are related to an improvement, regardless of the category. These results are not in line with the findings of Lee et al. (2006) that show distancing-reactions are associated with a greater reduction in symptoms than reliving-reactions. In addition to Lee et al. (2006), the current study found that both the nature of the trauma (intentional or not intentional) as well as the negative cognition of a client (powerlessness or self-esteem) are not associated with an improvement in symptoms during EMDR treatment. Future research may contribute to knowledge about other factors that may be associated with the effectiveness of EMDR.

Keywords: Distancing  Reliving  

Accuracy Verified: Yes

122. Barrowcliff, A., Gray, N., MacCulloch, S., Freeman, T., & MacCulloch, M. (2003, September). Horizontal rhythmical eye movements consistently diminish the arousal provoked by auditory stimuli. British Journal of Clinical Psychology, 42(3). 289-302. doi:10.1348/01446650360703393.

Language: English

Format: Journal

Abstract:
Objectives: Theoretical models implicating the orienting reflex as an explanatory mechanism in the eye-movement desensitization and reprocessing (EMDR) treatment protocol are contrasted and tested empirically. We also test whether EMDR effects are due to a distraction effect. Design: A repeated measure design is used in two experiments. The first experiment employed two independent variables, eye condition (moving vs. stationary) and tone (a pseudo-randomized series of low and high intensity tones). In Expt 2, eye condition was replaced by attentional demand conditions (low or high). In both cases, electrodermal responses served as the dependent variable. Method: Participants were recruited from the Psychology Department at Cardiff University. In Expt 1, participants were required to either pursue a moving stimulus following auditory challenge or engage in an eyes-stationary task. In Expt 2, the task following auditory challenge required participants to identify specific items from letter strings in low and high attentional demand conditions. Results: Lower levels of electrodermal arousal were identified in tasks eliciting eye movements, compared to no eye movements. This effect was not due to the attentional requirements of the task. Conclusions: Eye movements following auditory challenge result in an effect of psychophysiological de-arousal. This supports the reassurance reflex model of EMDR proposed by MacCulloch and Feldman (1996).

Keywords: Distraction Effect  Empirical Study  Orienting Reflex  Quantitative Study  

Accuracy Verified: Yes

123. Engelhard, I. M., van Uijen, S. L., & van den Hout, M. A. (2010, December). The impact of taxing working memory on negative and positive memories. European Journal of Psychotraumatology, 1, 5623,[8 pages]. doi:10.3402/ejpt.v1i0.5623.

Language: English

Format: Journal

Abstract:
Background: Earlier studies have shown that horizontal eye movement (EM) during retrieval of a negative memory reduces its vividness and emotionality. This may be due to both tasks competing for working memory (WM) resources. This study examined whether playing the computer game ‘‘Tetris’’ also blurs memory. Method: Participants recalled negative and positive memories in three conditions: recall only, recall with concurrent EM, and recall with playing Tetris. Before and after these conditions, vividness, emotionality, and physiological startle responses during recall were measured. Results: A reaction time task showed that EM and Tetris both draw on WM, compared to no dual-task. Compared to recall only, EM and Tetris decreased reported emotionality and startle responses. Conclusions: The effects of EM and Tetris did not differ, even though the tasks differed in the degree of taxing WM. This suggests that taxing WM and its effects on emotional memories may not be linearly related. Potential clinical implications are discussed.

Keywords: Emotionality  Horizontal Eye Movement  Vividness  

Accuracy Verified: Yes

124. Shusta-Hochberg, S. R. (2003). Impact of the World Trade Center disaster on a Manhattan psychotherapy practice. Journal of Trauma Practice, 2(1), 1-16. doi:10.1300/J189v02n01_01.

Language: English

Format: Journal

Abstract:
On September 11, 2001, when two hijacked planes destroyed the World Trade Center, the world changed. As a clinical psychologist practicing in Manhattan, and specializing in trauma, the author has found the event's impact upon her work to be profound. For most of her patients, in particular the severely dissociative, this event triggered the deepest feelings of vulnerability, fear and rage. She describes the varied trauma responses of her patients, effective interventions, and her own experiences as a psychologist and a New Yorker both on and since September 11. [Author Abstract]

Keywords: 9/11  Americans  DID  Dissociative Identity Disorder  Personal Narrative  Posttraumatic Stress Disorder  Psychologists  PTSD  September 11  Survivors  Terrorism  Terrorist Attacks  

Accuracy Verified: Yes

125. Peters, E., Wissing, M. P., & du Plessis, W. F. (2002, June). Implementation of EMD(R) with cancer patients: Research. Health SA Gesondheid, 7(2), 100-109.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR(R)), developed in 1987 and proved highly effective in treating psychological disturbances rooted in traumatic memories. It was hypothesised that EMDR(R) would enhance coping in patients traumatised by a cancer diagnosis and / or treatment, as indicated by their subjective responses and levels of depression, anxiety, satisfaction with life, positive-negative affect balance and sense of coherence. A descriptive multiple case-study method was implemented. Three cases were treated by EMDR(R) and three by a supportive method. Data collection was triangulised in terms of semi-structured interviews, quantitative measuring instruments and interviews by an external validator. Findings were consistently in favour of EMDR(R). The results confirmed EMDR(R)'s efficacy in terms of beneficial clinical outcomes on both objective and subjective measures of change.[Journal abstract]

Keywords: Cancer  Enhancement of Well-Being  Psycho-Oncology  Psychotherapy  Stress Reduction  

Accuracy Verified: Yes

126. D'Hooghe, D. (2012, June). Integrating attachment theory and the AIP model in working with early childhood trauma in an attachment relationship [La integración de la teoría del apego y el modelo AIP al trabajar sobre el trauma infantil precoz dentro de una relación de apego]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
In this presentation I would emphasize the relationship between attachment, trauma and the development of the AMN (adaptive memory network). From a psychobiological point of view, we understand that early relational experiences shape brain growth and organization and that the major environmental influence on the development of the brain is the attachment relationship. Reductions in brain volume and dysfunctional memory networks following traumatic experiences in early childhood are documented. When there is a distressing incident, it may become stored in state-­‐specific form, unable to connect with other memory networks that hold adaptive information. The research of the neurobiology of the social brain and the mirror neuron system let us assume that the AMN is developing in the presence of an attuned caretaker. Healing traumatic memories is relational and procedural. I use EMDR within the Phase-­‐ model of trauma-­‐informed treatment. During the preparation phase (phase 1 and 2 EMDR protocol) I would like to stress the importance of: • evaluating the attachment pattern of the child. It affects how the child relates to the therapist. Establishing a healing therapeutic relationship is a goal of phase 2. • the activation of networks containing adaptive information and positive memories • increasing coping abilities, self-­‐efficacy and sense of mastery. That may result in reduction of the fear responses and enabling changes in the meaning of the experiences, and a new memory can be formed.

En esta presentación, queremos enfatizar la relación que existe entre apego, trauma y desarrollo de la red adaptativa de memoria (AMN). Desde un punto de vista psicológico, entendemos que una temprana experiencia relacional forma el cerebro y hace crecer la organización y consideramos que la principal influencia ambiental del desarrollo del cerebro es la relación de apego. Las reducciones en el tamaño del volumen del cerebro y las redes de memoria disfuncionales seguidas de experiencias traumáticas en la infancia están documentadas. Cuando existe un evento vital estresante, puede ser almacenado en una forma específica de estado, impidiendo conectar con otras redes de memoria que retienen la información adaptativa. La investigación de la neurobiología del cerebro social y el sistema de neuronas espejo, nos permite asumir que la AMN se desarrolla en presencia de un cuidador acostumbrado. Sanar recuerdos traumáticos es relacional y referente al procesamiento. Yo uso EMDR dentro del modelo-­‐fase del tratamiento para el trauma informado por el paciente. Tratamiento del modelo de fase para el trauma informado: Durante la preparación fase (fase 1 y 2 del protocolo EMDR) me gustaría recalcar la importancia de: -­‐ Evaluar el patrón de apego del niño. Que afecta en como el niño se relaciona con el terapeuta. -­‐ La activación de redes que contienen información adaptativa y recuerdos positivos. -­‐ Incremento de las habilidades de afrontamiento, autoeficacia y autocontrol. Esto puede conllevar una reducción de las respuestas de miedo e inhibir cambios en significado de las experiencias y puede llevar a la formación de un nuevo recuerdo.

Keywords: Adaptive Information Processing  AIP  Attachment Theory  Childhood Trauma  

Accuracy Verified: Yes

127. Heber, R., & Shapiro, S. (2002, June). Integrating EMDR with psychoanalytic constructs in dealing with open-ended trauma. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Recent acts of terrorism dictate re-examination of therapeutic srrategies when dealing wlth traumatic events without true closure and involving environmental stressors common to therapist and client. Thc participant will learn to 1) identify issues that arise open-ended and and shared events; 2) identify and address transference, counter-transference and subjective counter-transference; 3) the therapist's own triggers, responses, and needs for personal support; 4) utilize the client's narrative to identify past and current issues and client coping methods. Case illustrations will be included.

Keywords: Open-Ended Trauma  Psychoanalytic Constructs  

Accuracy Verified: Yes

128. Kaye, B. (2006). Interactive cognitive motor interweaves during EMDR. Cary, NC: Allied Psychological Services.

Language: English

Format: Other

Abstract:
A new interweave technique is described for when patients are slow to desensitize or when they are emotionally overwhelmed during EMDR treatment. The interweave is comprised of two parallel components: a finger-touching go/no-go tracking task as well as a semantic priming task. The theoretical rationale for the finger-touching task is explained relative to neuroimaging studies of the anterior cingulate cortex and other areas. The rationale for the semantic priming task is explained relative to research about dopaminergic activation projecting from the ventral tegmentum as well as novelty generated orienting responses. A two-stage model is proposed for constructing effective EMDR stimulation techniques.

Keywords: Cognitive Interweave  

Accuracy Verified: Yes

129. Shapiro, F. (2012, October). Introduction to EMDR therapy. Presentation at the Pre-Meeting Institute of the 28th Annual Meeting of ISTSS, Los Angeles, CA.

Language: English

Format: Conference

Abstract:
This presentation will introduce the basics of EMDR therapy and provide an overview of treatment. Both the theoretical foundation and recent research findings will be explored. EMDR is an evidence-based psychotherapy supported by more than 20 randomized controlled studies. Meta-analyses have indicated that the effects of EMDR on PTSD symptoms are comparable to those of trauma-focused CBT. However, EMDR therapy does not require homework, sustained arousal, detailed descriptions of the index trauma, or extended exposure to the event. While the eye movement component has been the subject of controversy, in the past decade an additional 20 randomized trials have evaluated the eye movements and demonstrated significantly superior effects compared to “exposure-only” conditions. The eye movements have been shown to (a) decrease the emotionality and vividness of memories, (b) create physiological relaxation responses, (c) facilitate access to associative memories and (d) lead to an increase in recognition of correct information. Two dominant theories regarding the role of the eye movements have emerged: (1) disruption of working memory and (2) elicitation of an orienting response. The research and clinical implications will be examined. The goals of this presentation parallel those of the conference itself by allowing participants to evaluate ways in which EMDR therapy offers innovations in both conceptualization and clinical treatment. These innovations include ways to support therapy retention and increase stability for those clients ordinarily considered too fragile to tolerate memory processing. Outreach can also be increased through the use of consecutive-day trauma treatment. Relevant research will be reported on the use of EMDR therapy with diverse populations. Participants will learn how the adaptive information processing theory that guides EMDR therapy practice offers a reconceptualization of (a) psychopathology, (b) therapeutic change, (c) the therapy relationship, (d) preparation for processing and (e) the multiple methods included in the therapy. The presentation will provide participants with the theoretical basis for EMDR therapy, an overview of the eight treatment phases, the three-pronged selection of processing targets, pertinent research, as well as applications to the full range of trauma victims. Videotaped sessions will demonstrate diverse treatment effects and provide participants with comparisons to other research-supported trauma treatments. 1-Describe the relevant research findings 2-Identify the components of the standard EMDR therapy three-pronged approach to processing 3-Contrast EMDR therapy with other empirically supported trauma treatments

Keywords: Practice  Theory  

Accuracy Verified: Yes

130. Fine, C.& Berkowitz, A. (2008, April). The joint use of EMDR and hypnosis in the treatment of DID, DDNOS and complex PTSD. Presentation at the 1st bi-annual European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands.

Language: English

Format: Conference

Abstract:
Dissociative Identity Disorder (DID), a chronic childhood onset posttraumatic stress disorder (PTSD), is currently recognized as a treatable condition. It is considered the paradigmatic dissociative disorder and carries with it extreme posttraumatic symptomatology which lends itself to be an apt target for treatment combining the use of EMDR and hypnosis. Therapists skilled in the treatment of DID and Dissociative Disorder Not otherwise specified (DDNos) have augmented their therapeutic arsenal with the fluent uses of hypnosis for stabilization, affect management, building a safe place and grounding. EMDR, which has come to the forefront of clinical awareness in the last fifteen years, seems well suited for the treatment of trauma, but can be destabilizing. The presenters recommend a protocol, called Wreathing Protocol, for the imbricated use of EMDR and hypnosis in the treatment of not only DID, but also DDNOS and complex chronic PTSD. The Wreathing Protocol is useful to advanced clinicians skilled in both modalities independently. This workshop will explain and illustrate with a clinical vignette the sequential steps of the Wreathing Protocol; it will describe the required contextual treatment frame for its safe use. The presenters will explore the consequences of the premature uses of EMDR and offer planful structured responses to a disequilibrated treatment and a destabilized patient. The clinical implications of the use of the Wreathing Protocol will be discussed. Learning objectives: 1. Name three prohibitions to the use of EMDR in the treatment of dissociative disorders. 2. Exemplify one target symptom of the BASK model of dissociation in the clinical example presented and relate a different one in one of your own patients. 3. Describe a potential multistep Wreathing Protocol sequence from selection of target to resolution of at least one microsymptom in a patient of your choice.

Keywords: Complex PTSD  DDNOS  DID  Dissociative Identity Disorder  Dissociative Disorder Not Otherwise Specified  Hypnosis  

Accuracy Verified: Yes

131. Ziveri, D. (2002). L'efficacia dell‘EMDR nella psicoterapia del PTSD e dei ricordi traumatici: Valutazione delle risposte del potenziale elettrodermico (SPR) attraverso il biofeedback [The effectiveness of EMDR psychotherapy on PTSD and traumatic memories: Assessing the potential electrodermal responses (SPR) through biofeedback]. WWW.Psicotraumatologia.com, Pubblicazioni in linguia italiana..

Language: Italian

Format: Dissertation/Thesis

Abstract:
Nel XXI secolo per la prima volta l'uomo avrà il potere di plasmare la Terra che desidera, costruire edifici alti come montagne e navi capaci di portarlo nello spazio, mettere insieme macchine intelligenti, sconfiggere molte malattie e cambiare se stesso intervenendo sui geni. A queste visioni ottimistiche (rassicuranti?) del futuro risponde la realtà del nuovo millennio: situazione ecologica planetaria prossima al collasso, panico ad occidente e disperazione a Sud. Vi sono circa 50 guerre in atto nel mondo con milioni di morti quasi tutti civili e colonne di profughi in fuga, nuovi pericoli terroristici e rilancio delle armi atomiche e dell'industria bellica. Ci sembra che tutto questo accada altrove, al di là di uno schermo televisivo; ma se oggi anche i problemi sono globalizzati allora allarmi ed appelli alla giustizia, alla pace ed alla solidarietà sono rivolti ad ogni coscienza. Particolarmente attente dovrebbero essere le menti di politici e scienziati di ogni parte del mondo. Particolarmente sensibili alle tematiche in questione dovrebbero essere le professioni d'aiuto. Dobbiamo chiederci cosa succeda alle vittime del potere di pochi. “E poi so bene: tutto ciò che si affonda in noi, come un mucchio di pietrame, finché dura la guerra, si ridesterà un giorno a guerra finita, e allora comincerà la resa dei conti, per la vita e per la morte.” (Niente di nuovo sul fronte occidentale, Erich Maria Remarque, 1929). Nella tradizione rileviamo un'attenzione quasi esclusiva per l’organismo e per le lesioni fisiche dell'uomo colpito dalla violenza. Il passo in avanti 6 consiste nel superare l'attenzione esclusiva al corpo per occuparsi anche delle ferite psichiche, altrettanto gravi e profonde di quelle fisiche. Se il termine psicologia significa nella sua origine greca "discorso sull'anima" ad indicare la ricerca della conoscenza del comportamento e dell'animo umano, esso indica oggi una disciplina sempre più attenta al suo essere scientifica. Tuttavia non dobbiamo disgiungere la scientificità della ricerca dall'utilità dell'intervento clinico, fine ultimo della professione. Il lavoro che vado presentando nasce da una riflessione sulla capacità della psicologia di fornire risposte concrete a situazioni complesse ed altrimenti difficili per ogni uomo. Ogni violenza, dai lontani scenari di guerra a quelli domestici di abuso, è un'immane tragedia: la ricerca sul disturbo post-traumatico da stress (PTSD) e gli interessanti e promettenti risultati di tecniche terapeutiche come l'Eyes Movements Desensitization and Reprocessing (EMDR) meritano perciò molta attenzione. Si ricordi che nel 1987 il primo studio della dott.sa Francine Shapiro, scopritrice di tale metodo, aiutò proprio una vittima della guerra del Vietnam. Questo caso oltre a gettare le basi per le successive ricerche controllate su tale terapia innovativa e a permetterne lo sviluppo, lasciò intravedere una speranza per le molte vittime dei conflitti armati e della violenza. L’EMDR si presenta come una buona risposta rapida ed efficace, la più efficace secondo alcune valutazioni meta-analitiche, all’insorgenza del PTSD per la risoluzione di eventi non elaborati. Non stiamo parlando di una panacea indistinta per tutti i casi in ogni condizione. Tuttavia le sue caratteristiche di brevità (in circostanze favorevoli), di buoni risultati, di integrazione tra diversi approcci ed il carattere non invasivo, ne fanno un candidato ideale come strumento d’elezione per il PTSD. 7 Dato quindi l’alto potenziale presentato dalla metodica in ambito clinico, la ricerca si pone come assolutamente necessaria e le prove sperimentali come essenziali. Queste alfine sono le considerazioni da cui muove l’intero percorso sperimentale qui esposto. Vorrei testimoniare con questo lavoro l’affetto verso i miei genitori. Ringrazio l’equipe che sta conducendo questa ricerca: il relatore prof. Roberto Anchisi, il correlatore prof. Roberto Guzzi, il correlatore dott. Michele Giannantonio e l’Associazione Emdr per l’Italia, specialmente la dott.sa Isabel Fernandez, nonché i valutatori indipendenti. Ringrazio di cuore tutte le persone a me vicine che mi hanno aiutato, Diego per la correzione delle bozze, il dott. Davide Gerevini perché è un amico e per il suo paziente aiuto. Non dimenticherò mai Capitan Max, l'imprevedibile Davide e Valentina, le persone più speciali che abbia incontrato durante questo corso di laurea.

In the twenty first century man has the power to shape the earth he wants to build tall buildings like mountains and ships able to carry it into space, putting together intelligent machines, overcome many diseases and change himself by acting on genes. These optimistic views (reassuring?) Of the future meets the reality of the new millennium: global ecological situation close to collapse, panic and despair in the south west there are about 50 wars taking place in the world with millions of dead civilians and almost all columns of refugees fleeing new dangers of terrorism and revival of atomic weapons and war industry. It seems that this happens elsewhere, beyond the television screen, but if the problems today are globalized, then alarms and calls for justice, peace and solidarity are addressed to all consciousness. Should be particularly attentive minds of politicians and scientists all over the world. Particularly sensitive to these themes should be the helping professions. We must ask ourselves what happens to victims of the power of a few. "And then I know: all that sinks in us, like a pile of stones, as long the war lasts, you awaken one day after the war, and then begin the reckoning for the life and death." (All Quiet on the Western Front, Erich Maria Remarque, 1929). In tradition we find an almost exclusive to the body and the human suffering personal injury from violence. The sixth step is to overcome the exclusive attention to the body to deal also with psychic wounds, serious and profound as those of individuals. If the word psychology in its Greek origin means "soul talk" to indicate the search for knowledge of the behavior and the human soul, it now shows a discipline increasingly attentive to its being scientific. But we must not separate the scientific research of clinical utility of the intervention, the ultimate goal of the profession. The work that I presented comes from a reflection on the ability of psychology to provide practical answers to complex situations and otherwise difficult for everyone. All violence, far from war scenarios to domestic abuse, is a great tragedy: the research on post-traumatic stress disorder (PTSD) and the interesting and promising results of therapeutic techniques such as desensitization and reprocessing Eyes Movements ( EMDR) deserve so much attention. Remember that in 1987 the first study of dott.sa Francine Shapiro, discoverer of that method, he helped his victim of the Vietnam War. This case as well as lay the groundwork for subsequent research on that check and allow the development of innovative therapy, suggests a hope for many victims of armed conflicts and violence. EMDR is as good a rapid and effective response, the most effective according to some meta-analytic assessments, the occurrence of PTSD for the resolution of events not processed. We're not talking about a vague panacea for all cases in all conditions. However, the characteristics of brevity (under favorable circumstances), good results of integration between different non-invasive approaches and make it an ideal candidate as a tool of choice for PTSD. 7 Since then the high potential of the method presented in the clinical setting, the research is absolutely necessary and the tests as essential. These are the considerations which finally moves the entire experimental process outlined here. I would witness this job affection to my parents. I thank the team that is conducting this research: the advisor prof. Roberto Anchises, the co-professor. Roberto Guzzi, the co-Dr. Michael Giannantonio EMDR and the Association for Italy, especially dott.sa Isabel Fernandez, as well as independent evaluators. I warmly thank all the people close to me who helped me, Diego for proofreading, Dr. David Gerevini because he is a friend and for his patient help. I will never forget Captain Max, David and Valentina unpredictable, the most special people I have met during this course.

Keywords: Biofeedback  Posttraumatic Stress Disorder  PTSD  SPR  Treatment Efficacy  

Accuracy Verified: Yes

132. Navas-Torrejano, D. S. (2011, Enereo-Junio). La desensibilización y reprocesamiento del movimiento (EMDR): El tratamiento para el trastorno de estrés postraumático [Eye movement desensitization and reprocessing (EMDR): Treatment for posttraumatic stress disorder]. Revista Ciencias Biomédicas, 2(1), 158-162.

Language: Spanish

Format: Journal

Abstract:
El trastorno de estrés postraumático está clasificado como uno de los trastornos deansiedad dado como una respuesta patológica a un evento estresante que supone unriesgo físico o psicológico. Corresponde a un problema de salud pública que causagran incapacidad y dificultades en el desarrollo biopsicosocial de la persona afectada.Actualmente se llevan a cabo diferentes métodos terapéuticos para el tratamiento dedicha patología, dentro de las mas estudiadas y con amplios resultados positivos seencuentra la terapia de reprocesamiento llamada Desensibilización y Reprocesamientopor medio de Movimiento Ocular (EMDR por sus siglas en inglés) basado en estimulaciónbilateral ocular, principalmente, que otorga al paciente la oportunidad de asimilar elevento traumático transformando su contenido emocional y brindando adaptación eintegración de la información y equilibrio físico y psicológico con respuestas adaptativasque permite el desarrollo e interacción normal con el entorno. Con la Técnica EMDR paraenfrentar el trastorno de estrés postraumatico, se alcanza que si bien el recuerdo está,ya no hiere.

Posttraumatic stress disorder is classified as an anxiety disorder characterized for apathological response to a stressful event that involves a physical or psychological risk.It is a public health problem that causes great disability and difficulties in biopsychosocialdevelopment of the patient. Currently, there are different therapeutic methods fortreating this disease; the most studied one with positive results is “eye movementdesensitization and reprocessing” (EMDR) based on bilateral visual stimulation, whichgives the patient an opportunity to assimilate the traumatic event, transforming itsemotional content and providing adaptation and integration of information and physicaland psychological balance with adaptive responses allowing normal development andinteraction with the environment. With EMDR to address post-traumatic stress disorderthe memory is there, but it does not hurt.

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

133. Giard, M. (2009, May). La guérison, par l’EMDR, des femmes abusées sexuellement durant l’enfance [Women healing childhood sexual abuse with EMDR]. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada .

Language: French

Format: Conference

Abstract:
Do you recognize the signs that a survivor of childhood sexual abuse may not be able to talk about the abuse and yet may be suffering from it? What are some of the risks that a survivor of childhood sexual abuse may encounter when using EMDR? During this workshop you will understand how the brain stores trauma—freeze, fight, flight responses—with an emphasis on dissociation and hypervigilance as coping mechanisms. The second part of the workshop will include practicing with EMDR and alternating techniques such as anchorage, strength-building (Tomlinson, 2008), remembering and healing childhood sexual abuse.

Keywords: Childhood Sexual Abuse  

Accuracy Verified: Yes

134. Bruno, T. (2006, Maggio). Le emozioni dei terapeuti nel lavoro con persone vittime di traumi interpersonali [The emotions of therapists working with victims of interpersonal trauma]. Presentazione alla Conferenza Nazionale, Associazione per l'EMDR in Italia, Firenza, Italia.

Language: Italian

Format: Conference

Abstract:
Quando ascoltiamo storie di devastazione, terrore, impotenza e di tradimento della fiducia, come naturale conseguenza, le nostre sicurezze più profonde possono essere messe in crisi. Applicando l’EMDR, a volte, possiamo essere messi di fronte alla “realtà del trauma” inaspettatamente, senza parole: il/la paziente “torna là” rivive l’esperienza col corpo e noi assistiamo e “viviamo il suo trauma”. Le emozioni (paura, schifo, terrore, rabbia, senso di paralisi ecc.) possono irrompere nello spazio sicuro della stanza di terapia e sfidare il nostro senso di “invulnerabilità” e prevedibilità. Rispetto all’impatto del materiale traumatico sul terapeuta quando si trova come testimone di eventi terribili e delle loro conseguenze ci possono essere risposte quali senso di paralisi, paura, desideri sadici e di vendetta, fino a “violazioni del setting”. Nel lavoro sul trauma possiamo agire in un continuum che va da risposte di evitamento con sentimenti di rifiuto e rabbia verso risposte di iper identificazione con la vittima. Esiste un rapporto circolare fra aspetti controtransferali e traumatizzazione secondaria negli operatori. Possono emergere problemi esistenziali e spirituali, sentimenti aggressivi e di giudizio, orrore, rabbia, senso di vulnerabilità, dolore-pena e sintomi classici del Disturbo da Stress Post Traumatico. La conoscenza, la consapevolezza e la gestione di questo processo all’interno della relazione terapeutica è fondante rispetto alla riparazione del danno nelle vittime e alla salute mentale dei terapeuti. Nel corso della presentazione ci sarà una focalizzazione sugli aspetti del ciclo del controtranfert e della traumatizzazione secondaria nel terapeuta e si forniranno elementi di protezione per i terapeuti.

When we hear stories of devastation, terror, helplessness and betrayal of trust, as a natural result, our securities may be made deeper into crisis. Applying EMDR, sometimes, we may be confronted with the "reality of trauma" unexpectedly, without words, it/the patient "back there" relive the experience with the body and we are seeing and "live her trauma." Emotions (fear, disgust, fear, anger, sense of paralysis, etc.) can break into the safe space of the therapy room and challenge our sense of "invulnerability" and predictability. Compared to the impact of traumatic material when the therapist is as a witness to terrible events and their consequences there may be responses such as sense of paralysis, fear, desires and sadistic revenge, to "violations of the setting." In work on trauma, we can act on a continuum ranging from avoidance responses with feelings of rejection and anger responses of hyper identification with the victim. There is a circular relationship between trauma and countertransference issues in the secondary players. Existential and spiritual problems can arise, aggressive feelings and judgments, horror, anger, sense of vulnerability, pain and pain-classic symptoms of Post Traumatic Stress Disorder. Knowledge, awareness and management of this process within the relationship Therapeutic compliance is fundamental to repairing the damage in the victims and mental health therapists. During the presentation there will be a focus on aspects of the cycle controtranfert and secondary traumatization in the therapist and will give protection elements for therapists.

Keywords: Interpersonal Trauma  

Accuracy Verified: Yes

135. Yordy, J. (2013, May). Making the brain/body connection: Using brain gym techniques to enhance child EMDR processing. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
This workshop is a presentation which encompasses the Triune Brain Theory, Educational Kinesiology and recent research on trauma and how it effects brain development and functioning. Information will be presented on the Triune Brain Theory and how “bottom up” processing can block EMDR from working with traumatized children. A description of the energy blockages in the brain and how they can be detected and then eliminated through Brain Gym exercises will comprise the second part of this educational workshop. The difference between hyper arousal and dissociative responses and which brain centers are involved will be explained in order to understand the adaptive, evolutionary response of the brain when the child/adult is experiencing trauma. Throughout the workshop will be experiential Brain Gym exercises. This format is designed to encourage greater understanding of the whole brained effects of the exercises as participants learn these tools. Several other exercises which reduce stress and connect the three levels of the brain for efficient, whole-brained processing will also be incorporated. Several case examples will be shared to illustrate how the Brain Gym exercises become part of the child’s coping resources and eventually facilitate the processing of his/her traumaLearning Objectives: • The participants will be able to demonstrate and describe the benefits of a Brain Gym Warm Up to create full brain activation and a relaxed processing state. • Participants will be able to describe the Triune Brain Theory and how trauma creates “bottom up” processing instead of “top down” processing. • Participants will be able to demonstrate specific exercises for reducing stress/trauma within the Central Nervous system thus enhancing a child’s sense of safety. • Participants will be able to identify 5 brain/energy imbalances and how they block EMDR processing. • Participants will be able to identify and explain the Brain Gym exercises which correct each of the 5 brain/ body/energy imbalances.

Keywords: Brain Gym  Children  

Accuracy Verified: Yes

136. MacDonald, H. (2011, October). Marbles in the elbow and other stories: Using EMDR in treatment resistant pain. Keynote presented at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
Persistent pain is common in people who have experienced trauma; and persistent pain also leads to trauma responses, and between 10- 50% of those experiencing chronic pain meet criteria for PTSD. There are many people experiencing current, persistent pain in the general population, and many people referred for EMDR treatment will have pain, whether or not this is the primary reason for the referral. Current approaches to treating persistent pain include medical and bio-psycho-social interventions. People with chronic pain have often tried multiple specialist treatments for their pain, including medication, surgery, physiotherapy and alternative treatments. The best available evidence suggests that a combination of medical, physiotherapy and psychological interventions is needed, with improved quality of life depending more on management of the emotional impact of pain than necessarily on pain reduction. An increasing body of evidence suggests that using EMDR for pain can be effective in three main ways: for reducing the experience of pain; targeting pain memories and overcoming the impact of pain on the individual. There will be a brief overview of research evidence and current clinical experience, and practical applications. This will include working with imagery in specific ways relevant to working with people in pain; and discussion of case examples. (Author abstract)

Keywords: Persistent Pain  

Accuracy Verified: Yes

137. Brewin, C. (2003, March). Memory, identity and post-traumatic stress disorder. Keynote at the 1st annual Conference of the EMDR UK & Ireland Association, London, UK.

Language: English

Format: Conference

Abstract:
Recent research indicates that the reactions to a traumatic event we know as PTSD are complicated because they may incorporate two quite separate sets of processes. One set of processes is concerned with specific reactions to extreme threat. The other set of processes is concerned with the challenge the trauma poses to the victim's beliefs and identity. These processes are not specific to trauma, hence the overlap between symptoms of PTSD and other disorders. Repeated exposure to threat will lead to the longer term establishment of identities that have lost much capacity for optimism, trust or intimacy. But even a single event which is merely upsetting for one person may fatally undermine the positive aspirations of another. Negative reactions to trauma go beyond thoughts and include impulses, imagined pictures, emotions, such as anger and shame, a feeling of being more than one person and a sense of disconnection from others. These individual responses are also highly varied and yet at the same time contain their own internal organisation, suggesting that a helpful framework for understanding them is the social psychological approach to identity involving multiple selves. Treating PTSD involves understanding how the survivor adapts to these twin challenges of memory and identity.

Keywords: Identity  Memory  Posttraumatic Stress Disorder  PTSD    

Accuracy Verified: Yes

138. Sugawara Masakazu & Suzuki K (2004, July). Methodological and conceptual issues and tests - EMDR(Eye Movement Desensitisation and Reprocessing) and REM sleep. Poster presented at the Annual Meeting of the Australian Society for the Study of Brain Impairment (ASSBI) and the International Neuropsychological Society (INS), Brisbane, Australia.

Language: English

Format: Conference

Abstract: Desensitisation and Reprocessing) and REM sleep. [Background] Eye movement desensitization and reprocessing (EMDR) is a new innovative treatment with a high success rate for psychological disturbances rooted in traumatic memory. However, the neurophysiological mechanisms of EMDR have not yet been elucidated. Why is saccadic eye movement effective for the reprocessing of previously established conditioned reflex? [Aims] The present research analysed (i)the topographical changes of EEG (and ERP) and REM sleep after EMDR treatment, and (ii)the subjective units of emotional distress (SUDs) and VOC. [Methods] Subjects (13 males and 20 females) were assigned to three groups according to varied conditions (control, provocational, and EMDR), and engaged in sets of horizontal saccadic-eye movements lasting approximately 30 seconds per set. Topographical changes of EEG and ERP activities were recorded from 14 placements over frontal, central, parietal, temporal and occipital scalp locations in the international 10-20 system with linked mastoides (A1-A2). Electrodes were also placed on the lateral canthus and above the supercillium of the left eye in order to measure the electrooculographic and electromyographic responses. [Results and Conclusions] The statistical significance of topographical EEG differences and REM densities during the pre-0post EMDR treatment situations, were evaluated using an ANONA and Mann-Whitney U test. The neurophysiological and psychological data indicate that the density of eye movement during REM sleep increased after provocation and EMDR, and the left frontal activities might indicate a treatment efficacy. It supports the hypothesis is that REM sleep is intimately involved with the mechanisms of emotional and memory reprocessing.

Keywords: Poster  REM  

Accuracy Verified: Yes

139. Fisher, J. A. (2005, September). Minding the body:  Working with the somatic legacy of trauma. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
As the price for surviving trauma, individuals are left with an inadequate memory record and a host of easily re-activated neurobiological responses. Trauma-related autonomic dysregulation prohibits processing and resolution, and the somatic responses, divorced from the events that caused them, are interpreted as data about the self or the world. This worksop will introduce approaches for working with traumatically encoded somatic experience using Sensorimotor Psychotherapy, a body-entered talking therapy that addresses these non-verbal, autonomic components by using the body as the entry point in treatment, rather than the event. Sensorimotor Psychotherapy offers simple body-oriented interventions for tracking, naming, and safely exploring trauma-related somatic activation, modulating a dysregulated nervous system, creating new resources and competencies, and restoring a somatic sense of self. Sensorimotor Psychotherapy can be easily integrated into EMDR and other trauma treatments and used to enhance installation of positive cognitions and resources or to facilitate processing and integrating of traumatic memories.

Keywords: Somatic Psychotherapy  

Accuracy Verified: Yes

140. Aubert-Khalfa, S., & Roques, J. (2007, Juin). Modifications des résponses psychophysiologiques au stress chez les patients PTSD aprés une seule séance d'EMDR [Modifications of psychophysiologcal response to stress in PTSD patients after a single EMDR session]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Patients atteints de SSPT démontrer anormale des réponses psychophysiologiques aux événements stressants. Ce dérèglement automatique est donc l'une des mesures objectives de stress post-traumatique qui pourrait également être utilisé pour évaluer les effets traitement du SSPT. Étant donné que la thérapie EMDR semble être un traitement de choix pour les victimes de traumatismes, l'objectif de l'étude était de vérifier que les réponses psychophysiologiques au stress a diminué après une séance EMDR unique. Six patients atteints du SSPT ont été traités par un thérapeute EMDR. Tout d'abord, au niveau clinique, à la fin de la session, les six patients ont eu une réduction très nette de leur niveau de perturbation subjective (SUD), leurs scores SSPT diminué (évaluée par le PLC-S), et leur auto-évaluation ( COV) est devenue positive, confirmant des études antérieures sur l'efficacité de l'EMDR. Deuxièmement, leurs réponses psychophysiologiques (rythme cardiaque, la conductance de la peau, le rythme respiratoire et la température de la peau) pendant un état de détente et tout en visualisant leur propre événement traumatique ont été enregistrées avant et après la session de l'EMDR. Malgré un nombre restreint de patients, après une seule séance EMDR, les réponses physiologiques à l'évocation de l'événement traumatique a diminué de manière significative. Cela comprenait la conductance de la peau, la fréquence cardiaque et la température de la peau. Ces résultats de l'étude préliminaire de confirmer l'efficacité du traitement EMDR sur le SSPT de la première session. Ils mettent également en évidence les effets thérapie EMDR sur le système nerveux autonome. Les changements psychophysiologiques enregistrés peuvent faire partie de mécanismes sous-jacents de traitement EMDR. D'autres études, y compris ces mesures seront donc nécessaires pour tester l'hypothèse.

PTSD patients demonstrate abnormal psychophysiological responses to stressful events. This automatic dysregulation is thus one of the objective measures of PTSD which could also be used to assess therapy effects on PTSD. Given that the EMDR therapy appears to be a treatment of choice for trauma victims, the aim of the study was to verify that the psychophysiological responses to stress decreased after a single EMDR session. Six PTSD patients have been treated by an EMDR therapist. First, at the clinical level, at the end of the session, all six patients had a very clear reduction of their subjective disturbance level (SUD), their PTSD scores diminished (as assessed by PLC-S), and their self-assessments (VOC) became positive, confirming previous studies on EMDR’s efficacy. Second, their psychophysiological responses (heart rate, skin conductance, respiration rate, and skin temperature) during a relaxing state and while visualizing their own traumatic event were recorded before and after the EMDR session. Despite small number of patients, after only one EMDR session, physiological responses to the evocation of the traumatic event decreased significantly. This included skin conductance, heart rate and skin temperature. These preliminary study results confirm the EMDR treatment efficiency on PTSD from the first session. They also highlight the EMDR therapy effects on the autonomic nervous system. The psychophysiological changes recorded may be part of the mechanisms underlying EMDR treatment. Further studies including these measures will therefore be necessary to test the hypothesis.

Keywords: Immersion  Stress  Posttraumatic Stress Disorder  Psychophysiological Responses  PTSD    

Accuracy Verified: Yes

141. Carlson, B. E. (2005, January). The most important things learned about violence and trauma in the past 20 years. Journal of Interpersonal Violence, 20(1), 119-126. doi:10.1177/0886260504268603 .

Language: English

Format: Journal

Abstract:
In the past 2 decades, important insights have been gained regarding violence and trauma. Complications occur in how violence and trauma, their causes, and their effects on victims should be defined. Violence and abuse to women -- physical, sexual, and emotional -- are not rare events and are most often perpetrated by partners or acquaintances rather than strangers and occur in nonmarital as well as marital relationships, including same-sex relationships. A promising methodological innovation in the study of violence and trauma is the use of longitudinal designs. Innovations in treatments for victims such as evidence-based interventions have been slow to emerge; they include eye movement desensitization and reprocessing (EMDR) and the Seeking Safety group intervention for drug-abusing women with trauma histories. Future research should address increased understanding of variation in individual responses to violence and trauma, matching of treatment to different types of male offenders, better understanding of how culture affects violence perpetration and victimization, and evaluation of domestic violence interventions. [Author Abstract]

Keywords: Commentary  Empirical Study  Longitudinal Study  Review  Scientific Research  Spouse Abuse  Survivors  Treatment  

Accuracy Verified: Yes

142. Adler-Tapia, R., & Tapia, M. (2008). My EMDR workbook. Hamden, CT : EMDR Humanitarian Assistance Programs .

Language: English

Format: Book

Abstract:
This workbook allows the individual to work through the phases of the EMDR protocol in a tangible and visual manner. Originally designed for children and adolescents, this workbook has been used with clients of all ages who have reported how helpful the workbook is to understand and engage in the EMDR protocol. This workbook not only helps to explain the 8 phases of EMDR and the steps in the protocol, the book allows the client and therapist to track the process. The workbook is designed to allow the client to draw and write their own responses to the EMDR protocol and takes the protocol beyond a verbal cognitive understanding to a visual interactive process for the client. Each client can keep the workbook to use outside sessions or it can be used in the office during treatment. Therapists will want each client to have their own “My EMDR Workbook.”

Keywords: Workbook  

Accuracy Verified: Yes

143. Amendolia, R. D. (1998). A narrative constructivist perspective of treatment of posttraumatic stress disorders with Ericksonian hypnosis and eye movement desensitization and reprocessing. Trauma Response, 13-14.

Language: English

Format: Journal

Abstract:
In a trauma survivor, physiological responses are exacerbated when the affect-laden memories stored in associative networks are triggered by environmental sensory inputs or cues and activate the autonomic nervous system. Recovery from trauma involves not only amelioration of physiological and dissociative symptoms, but also the cognitive rebuilding of a viable assumptive world view which integrates the realms of vulnerability, meaning and self-esteem. This world view is contextualized in cultural idioms and values. From an Ericksonian perspective, persons are usually attempting to problem-solve, even in a dissociative date. A symptom such as an intrusive recollection or recurrent dream of a traumatic event is therefore construed as a request for help in problem-solving. Hypnosis is a structured dissociation which facilitates cognitive flexibility; that is, the broadening of choices of the client' s belief system, rather than direct work on changing affect or behaviors. The goal of Ericksonian hypnosis is to recontextualize the traumatic memory, the affect of fear, and the physiological hyperarousal cued by the traumatic memory. This occurs within a broader context of pride, mastery and courage, and within a context inclusive of other memories and affects, which are positive for the client. Eye Movement Desensitization and Reprocessing (EMDR), similarly has as its goal the facilitation of a transfer of traumatic data from the cortical right hemisphere to the left hemisphere. EMDR also utilizes the attainment of a state of heightened awareness, or collaborative structured dissociation, in order to facilitate the orientation of the traumatized client's conscious mind toward "revisiting" traumatic memories. Both interventions can facilitate the self-narrative reconstruction process of trauma survivors by simultaneously modulating the person's hyperarousal while attending to the culturally significant metaphors which form the building blocks of a person' s world of meanings. [AAETS]

Keywords: Eriksonian Hypnosis  Narrative Constructionist  

Accuracy Verified: Yes

144. Litt, B. (2009, August). Node isolation theory: The eye-zone differential technique. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Clients with complex PTSD, dissociation, and attachment issues are easily hyper – or hypo-aroused and may dissociate or abreact. Moreover, many clients report complex or “undifferentiated” responses to targets, including multiple affects and negative cognitions, confusion, or ego-state conflict in which processing loops, is blocked, or is inefficient. Possibly, multiple nodes are being activated in the setup phase simultaneously. The proposed remedy is to isolate the node at the epicenter of the target trauma for a more focused desensitization experience. A series of “Node Isolation Strategies” are described that lead to safe, efficient processing of difficult material, while maintaining inter-session stability.

Keywords: Eye-Zone Differential Technique  Node Isolation Theory  

Accuracy Verified: Yes

145. Maxfield, L. (2009). On science, orthodoxy, EMDR, and the AIP, H. Lipke, Response from the editor. Journal of EMDR Practice and Research, 3(2), 109-112. doi:10.1891/1933-3196.3.2.109.

Language: English

Format: Journal

Abstract:
The Journal ’s instructions to authors are located inside the back cover of every issue. The relevant passage stated, “Articles that recommend a clinical approach that differs from EMDR’s standard protocol or its foundational Adaptive Information Processing model (Shapiro, 2001) should explain these differences.”The purpose of this instruction was to encourage clarity rather than conformity. It is important for Journal readers, some of whom have not been trained in this method, to know whether the techniques described are standard for eye movement desensitization and reprocessing (EMDR) or variations on the protocol. For example, the reader of an article describing a technique that combines EMDR with aspects of another psychotherapy approach such as hypnosis could assume that hypnotic inductions were part of standard EMDR unless it was stated clearly which elements were adapted from that method. The request that authors also clarify points of divergence from the adaptive information-processing (AIP) model was similarly intended to generate clarity. It is consistent with the recognition that a common platform for discussion is needed, even if that platform is imperfect. It is also consistent with Shapiro’s teaching of the AIP model as a clinical heuristic that is subject to revision in the face of new data or more compelling models. Rather than thwarting discussion, the request that authors explain points of disagreement was designed to promote deeper consideration of the mechanisms and models underlying EMDR. In response to Dr. Lipke’s letter, the Journal ’s Editorial Board engaged in a thorough review process to examine the value of this instruction and invited responses (see letters above) from Dr. Shapiro and the EMDRIA’s Board of Directors to further illuminate the process. The Editorial Board has a diverse membership, and there were divergent opinions, including some disagreements with the following response. It was decided to modify the identified statement so that it now reads, “Articles that recommend a clinical approach that differs from EMDR’s standard protocol or Shapiro’s (2001) Adaptive Information Processing model should discuss these differences.”

Keywords: Adaptive Information Processing  AIP  Letter  Orthodoxy  Science  

Accuracy Verified: Yes

146. Denny, N. (1995, March). An orienting reflex/external inhibition model of EMDR and thought field therapy. Traumatology, 1(1), 1-6, Article 1. doi:10.1177/153476569500100101.

Language: English

Format: Journal

Abstract:
The clinical phenomena of the conduct of EMDR and Thought Field Therapy were interpreted in light of concepts in the field of classical conditioning with emphasis on the orienting reflex and its external inhibiting effects on conditioned responses. A model was proposed using the temporary suppression through external inhibition of the fear and avoidance conditioned responses to disturbing memories. The clinically helpful effect proposed is the emergence of previously suppressed competing responses to the troublesome memories. Those newly emerged responses are responsible for spontaneous cognitive restructuring of the meaning attribution of the memories, thus lowering SUDS ratings. [Author Abstract]

Keywords: Conditioned Emotional Responses  Cognitive Processes  TFT  Thought Field Therapy  

Accuracy Verified: Yes

147. Armstrong, M. S., & Vaughan, K. (1994, June). An orienting response model for EMDR. Presentation at the meeting of the New South Wales Behaviour Therapy Interest Group, Sydney, Australia.

Language: English

Format: Conference

Keywords: Conditioned Emotional Responses  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes

148. Armstrong, M., & Vaughan, K. (1996, March). An orienting response model of eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 27(1), 21-32. doi:10.1016/0005-791(95)00056-9.

Language: English

Format: Journal

Abstract:
Dyck's conditioning model of EMD provides a useful description of failure of habituation in PTSD, but may not account for some common EMD phenomena. An alternative model proposes that the therapist's waving hand -- in the presence of a trauma-related cortical set -- triggers an intense orienting response (OR). Intrinsic effects of the OR facilitate continuing attention to the memory without avoidance, and provide for effective input of new trauma-related information. The person's neuronal model of the trauma alters to reflect his survival and current safety -- as true outcome of the trauma -- and associated conditioned responses extinguish. Proposals for experimental evaluation of the model are described. [Author Summary]

Keywords: Conditioned Emotional Responses  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes

149. Vaughan, K., & Armstrong, M. (1995, June). An orienting response model to EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The authors reviewed the literature of EMDR and consulted their own clinical experiences to establish the characteristic phenomenology of EMDR. Dyck's (1993) conditioning model of eye movement desensitization provides a useful account of failure and habituation in post-traumatic stress disorder (PTSD), but does not account for some of these common EMDR phenomena. The authors propose an alternative model in which the therapist's waving hand-- in the presence of a trauma-related cortical set-triggers an intense orienting response (OR). Intrinsic effects of the OR facilitate continuing attention to the memory without avoidance, and provide for effective input of new trauma-related information. The person's neuronal model of the trauma alters to reflect their survival and current safety -- as true outcome of the trauma - and associated conditioned responses extinguish. Some proposals for experimental evaluation of the model are described.

Keywords: Orienting Response  

Accuracy Verified: Yes

150. Brewin, C. R., Fuchkan, N., Huntley, Z., Robertson, M., Thompson, M., Scragg, P., d'Ardenne, P., & Ehlers, A. (2010, February). Outreach and screening following the 2005 London bombings: Usage and outcomes. Psychological Medicine, 40(12), 2049–2057. doi:10.1017/S0033291710000206.

Language: English

Format: Journal

Abstract:
Background: Little is known about how to remedy the unmet mental health needs associated with major terrorist attacks, or what outcomes are achievable with evidence-based treatment. This article reports the usage, diagnoses and outcomes associated with the 2-year Trauma Response Programme (TRP) for those affected by the 2005 London bombings. Method: Following a systematic and coordinated programme of outreach, the contact details of 910 people were obtained by the TRP. Of these, 596 completed a screening instrument that included the Trauma Screening Questionnaire (TSQ) and items assessing other negative responses. Those scoring 6 on the TSQ, or endorsing other negative responses, received a detailed clinical assessment. Individuals judged to need treatment (n=217) received trauma-focused cognitive-behaviour therapy (TF-CBT) or eye movement desensitization and reprocessing (EMDR). Symptom levels were assessed pre- and post-treatment with validated self-report measures of post-traumatic stress disorder (PTSD) and depression, and 66 were followed up at 1 year. Results: Case finding relied primarily on outreach rather than standard referral pathways such as primary care. The effect sizes achieved for treatment of DSM-IV PTSD exceeded those usually found in randomized controlled trials (RCTs) and gains were well maintained an average of 1 year later. Conclusions: Outreach with screening, linked to the provision of evidence-based treatment, seems to be a viable method of identifying and meeting mental health needs following a terrorist attack. Given the failure of normal care pathways, it is a potentially important approach that merits further evaluation.

Keywords: Cognitive-Behaviour Therapy  London Bombings  Outreach  Posttraumatic Stress Disorder  PTSD  Trauma-Focused Cognitive Behavioral Therapy  Trauma Response Programme  TRP  

Accuracy Verified: Yes

151. Kreyer, A. K., & Egon, S. (2008, June). Physiological effects of eye movements of different speeds and eye fixation during engagement in negative autobiographical memories: Experimental research regarding EMDR. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract: The aim of the study was to explore the working mechanism of the bilateral stimulation component in EMDR in relation to current hypotheses. Physiological hypotheses (of orienting response and relaxation response) were tested in an analogous experimental setting. Moreover, the clinical advice to use different stimulation speeds for different phases of EMDR was examined at the autonomic level, exploring two different speeds of eye movements. In a within-subject design 42 female students performed 7 short sets each of rapid eye movements (1 Hz), slow eye movements (0.3 Hz) and eye fixation while engaging in negative autobiographical memories. Order of the tasks was counterbalanced. Electrooculogramm (EOG), electrocardiogramm, electrodermal activity and distal pulswave were recorded continuously. Skin conductance level (SCL), heart rate (HR), heart rate variability (RMSSD) and pulse wave transit time (PWTT) were calculated. Performance of the eye movement tasks were controlled through EOG. All three conditions showed a clear-cut de-arousal at stimulation onset, which was 30 indicated by a decrease in HR and SCL and an increase in RMSSD and PWTT. That means, fast and slow eye movements as well as eye fixation initiated a moderate, but clear relaxation response with increased parasympathetic and reduced sympathetic activity. These results suggest that the speed of eye movements do not influence autonomic functions. Furthermore, the results of this study do not support most of the current hypotheses regarding the working mechanism of the bilateral stimulation in EMDR. Alternative explanations are discussed

Keywords: Autobiographical Memories  Research  

Accuracy Verified: Yes

152. Park, S.-C., Park, Y.-C., Lee, M.-S., & Chang, H. S. (2012, March). Plasma brain-derived neurotrophic factor level may contribute to the therapeutic response to eye movement desensitisation and reprocessing in complex post-traumatic stress disorder: A pilot study. Acta Neuropsychiatrica. doi:10.1111/j.1601-5215.2011.00623.x.

Language: English

Format: Journal

Abstract:
We investigated the relationship between plasma levels of brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF) and responses to eye movement desensitisation and reprocessing (EMDR) in complex PTSD. Before and after EMDR, plasma levels of neurotrophic factors and scores in the indices of self-questionnaires were obtained for 8 men with complex PTSD. Baseline plasma levels of BDNF and NGF of responders and of non-responders were compared. The plasma BDNF levels of responders were higher than those of non-responders. However, plasma NGF levels did not differ in two groups. Plasma BDNF level might contribute to the therapeutic response to EMDR in trauma-related psychiatric disorders, such as complex PTSD. [Text]

Keywords: Pilot Study  Plasma Brain-Derived Neurotrophic Factor Level  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

153. Park, S.-C. (2011, February). Plasma levels of neurotrophic factors predict responses to eye movement desensitization and reprocessing in complex posttraumatic stress disorder. Hanyang University, Graduate School, Seoul, Korea.

Language: English

Format: Dissertation/Thesis

Abstract:
Complex PTSD is a proposed diagnosis that describes psychological sequelae of survivors with prolonged, repeated, and interpersonal trauma, including childhood physical abuse, incest, and other forms of family violence (Herman, 1992). The diagnostic criteria for complex PTSD are composed of the functional alterations in six areas: (1) regulation of affect and impulses; (2) attention or consciousness; (3) self-perception; (4) relations with others; (5) somatization; and (6) system of meaning (Pelcovitz et al., 1997). Recently, a morphometric study showed that patients with childhood abuse-related complex PTSD had more extensive involvements of neural substrates (reduced anterior cingulate and orbitofrontal volumes) than those with classical PTSD (Thomaes et al., 2009). Changes in the neural substrates of patients with complex PTSD may reflect the relationship, established in critical developmental phases, between traumatic experiences and neurobiological factors. Eye movement desensitization and reprocessing (EMDR) is an integrative and comprehensive psychotherapy that contains various effective elements of psychodynamic, cognitive-behavioral, interpersonal, and body-centered therapies (Shapiro and Maxfield, 2002). It was originally developed to resolve symptoms of psychic trauma, and has been shown to be highly effective in reducing the symptoms of posttraumatic stress disorder (PTSD) (Bradely et al., 2005; van der Kolk et al., 2007). It has been also proposed as a rapid and effective application for treating the core symptoms of complex PTSD (Korn and Leeds, 2002; Kim and Choi, 2004; Kim, 2003). Thus, the investigation of the effects of treatment of complex PTSD by EMDR may reveal aspects of neurobehavioral plasticity dependent on neurotrophic factors.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Neurotrophic Factors  Plasma Levels  

Accuracy Verified: Yes

154. Calero, M., Cutinella, L., Duarte, G., Frontini, M. D., Garcia, S. Garcia, V., F., & Yoo, I. (2012). Policinca para el tratamiento del trauma [Policinca for the treatment of trauma]. Revista Iberoamericana de Psicotraumatología y Disociación, 4(1).

Language: Spanish

Format: Other

Abstract:
La falta de alternativas de tratamiento para pacientes graves y el reconocimiento de situaciones traumáticas como factores etiológicos o coadyuvantes de sus patologías, ha generado la necesidad de nuevas respuestas terapéuticas para esta población. Se instrumentó una Policlínica para el tratamiento del Trauma con el Modelo EMDR en el Hospital Psiquiátrico Vilardebó de Uruguay que da atención tanto a pacientes internados con patologías psiquiátricas severas como a pacientes ambulatorios con TEPT. Los pacientes atendidos son del sector público, de bajos recursos, algunos de los cuales presentan también causas judiciales por cometer hechos delictivos asociados a Trastornos Disociativos. Se presenta esta experiencia, la forma en que se instrumenta, el equipo que la forma, y la necesidad que se repliquen instancias similares en otros sectores de atención.

The lack of alternative for treatment with grave patients and the acknowledgment of traumatic situations as etiological or aggravating factors in their pathologies has generated the need for therapeutic responses to this population. This Poli-Clinic was trained in trauma treatment using EMDR in this Hospital that gives attention to residential patients with severe psychiatric pathologies as well as outpatients with PTSD. The patients were from the public sector, low income, some of whom presented with legal situations due to crimes committed associated to Dissociative Disorders. The experiment will be presented, how the training was administered, the instruments used and the need for replication of results in other sectors of attention.

Keywords: Police  Trauma  Treatment  

Accuracy Verified: Yes

155. Calero, M. (2010, Octubre/Noviembre). Policlinica para el tratamiento del trauma con modelo EMDR en pacientes graves en el Hospital Psiquátrico Vilardebó de Montevideo, Uruguay [Poli-clinical treatment for trauma with EMDR in severe patients in a psychiatric hospital (Vilardebo) in Montevideu, Uruguay]. Presentada en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.

Language: Spanish

Format: Conference

Abstract:
La falta de alternativas de tratamiento con pacientes graves y el reconocimiento de situaciones traumáticas como factores etiológicos o coadyuvantes de sus patologías, ha generado la necesidad de respuestas terapéuticas para esta población.Se instrumentó una Policlínica para el tratamiento del Trauma con el Modelo EMDR en el Hospital Psiquiátrico Vilardebó de Uruguay que da atención tanto a pacientes internados con patologías psiquiátricas severas como a pacientes ambulatorios con TEPT. Los pacientes atendidos son del sector público, de bajos recursos, algunos de los cuales presentan también causas judiciales por cometer hechos delictivos asociados a Trastornos Disociativos.Se presentará esta experiencia, la forma en que se instrumenta, el equipo que la forma, y la necesidad que se repliquen instancias similares en otros sectores de atención.

The lack of alternative for treatment with grave patients and the acknowledgment of traumatic situations as etiological or aggravating factors in their pathologies has generated the need for therapeutic responses to this population. This Poli-Clinic was trained in trauma treatment using EMDR in this Hospital that gives attention to residential patients with severe psychiatric pathologies as well as outpatients with PTSD. The patients were from the public sector, low income, some of whom presented with legal situations due to crimes committed associated to Dissociative Disorders. The experiment will be presented, how the training was administered, the instruments used and the need for replication of results in other sectors of attention.

Keywords: Hospital  Trauma  Montevideu, Uruguay  

Accuracy Verified: Yes

156. Davidson, J. R. T., Stein, D. J., Shalev, A.Y., & Yehuda, R. (2004, Spring). Posttraumatic stress disorder:  Acquisition, recognition, course, and treatment. Journal of Neuropsychiatry and Clinical Neuroscience, 16(2), 135-147. doi:10.1176/appi.neuropsych.16.2.135.

Language: English

Format: Journal

Abstract:
Following exposure to trauma, a large number of survivors will develop acute symptoms of posttraumatic stress disorder (PTSD), which mostly dissipate within a short time. In a minority, however, these symptoms will evolve into chronic and persistent PTSD. A number of factors increase the likelihood of this occurring, including characteristic autonomic and hypothalamic-pituitary-adrenal axis responses. PTSD often presents with comorbid depression, or in the form of somatization, both of which significantly reduce the possibilities of a correct diagnosis and appropriate treatment. Mainstay treatments include exposure-based psychosocial therapy and selective serotonin reuptake inhibitors, such as paroxetine and sertraline, both of which have been found to be effective in PTSD. This paper looks at the course of PTSD, its disabling effect, its recognition and treatment, and considers possible new research directions.

Keywords: Comorbidity  Posttraumatic Stress Disorder  PTSD  Recognition and Treatment  SSRIs  

Accuracy Verified: Yes

157. Commons, M. L. (2000, August). The power therapies: A proposed mechanism for their action and suggestions for future empirical validation. Traumatology, 6(2), 119-138. doi:10.1177/153476560000600205 .

Language: English

Format: Journal

Abstract:
Power Therapies claim to achieve rapid results in reducing fear elicited by a large number of situations. This paper presents a theory of how competition among stimuli may be the basis for how the Power Therapies work. The compelling features of these therapies are that they all interrupt old habits and conditioned reflexes and provide new habits and conditioning. Therefore, many of the protocols involve overcoming prior-stimulus dominance. In addition to proposing a mechanism for these therapies, this article also reveals that, despite superficial differences, power therapies fundamentally accomplish the same thing. These therapies reduce the intensify of emotional responses elicited by stimuli associated with trauma. It is proposed that they accomplish this end through working at the subcortical level of brain activity to interrupt the negative emotional responses elicited by the trauma stimuli. [Author Abstract]

Keywords: Conditioned Emotional Responses  TFT  Thought Field Therapy  Neurolinguistic Programming  NLP: Posttraumatic Stress Disorder  PTSD  TIR: Traumatic Incident Reduction  

Accuracy Verified: Yes

158. Rothbaum, B. (2008, November). Predictors of treatment response for EMDR and prolonged exposure. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.

Language: English

Format: Conference

Abstract:
Recent developments in PTSD treatment outcome research: Although cognitive behavior therapy is the treatment of choice for PTSD, there is a need to develop more effective treatments and to determine factors that influence treatment response. This symposium presents four studies that address treatment outcome research. The initial paper provides an overview of treatment predictors from two trials of cognitive processing therapy. The second paper reviews the differential responses to treatment of survivors of terrorist attacks and motor vehicle accidents. The third paper reviews predictors of outcome following EMDR and Prolonged Exposure. The fourth paper overviews a series of studies that have used structural and functional fMRI to identify the neural factors that predict response to CBT and also the impact of CBT on neural functioning.

Predictors of treatment response for EMDR and prolonged exposure: Predictors for response to treatment in a controlled study aimed to evaluate the relative efficacy of Prolonged Exposure (PE) and Eye Movement Desensitization and Reprocessing (EMDR) compared to a no-treatment wait-list control (WAIT) in the treatment of PTSD in adult female rape victims were examined. In this study, 74 participants with PTSD were randomly assigned to one of the three experimental conditions to achieve 20 completers per group. Independent Assessors blind to the treatment condition administered standard measures of PTSD and related symptoms. Improvement in PTSD, depression, dissociation, and state anxiety was significantly greater in both PE and EMDR group than the WAIT group. PE and EMDR did not differ significantly for change from baseline to either post-treatment or 6-month follow up measurement for any quantitative scale. EMDR subjects with 2 or more comorbid diagnoses, however, improved significantly less than all other active treatment subjects. At post-treatment and 6- months, 95% and 94% of PE subjects and 75% and 74% EMDR subjects no longer met DSM-IV PTSD criteria, respectively. At the 6-month follow-up assessment, 78% of those who received PE and 35% of those who received EMDR met criteria for good end state functioning (p=.017).

Keywords: Panel  Prolonged Exposure  Symposium  Treatment Response Predictors  

Accuracy Verified: Yes

159. Ferrie, R. K. (2004, September). Problems with SSRIs in the treatment of traumatic syndromes. Presentation at the annual meeting of the EMDR International Association, Montréal, Quebec Canada.

Language: English

Format: Conference

Abstract:
This workshop will focus on the biological and clinical evidence supporting the notion that depression, dissociation, somatization, and PTSD may be symptomatic responses to traumatic events which affect the brain. The safety of SSRls and their application for the treatment of PTSD will be discussed as will the complications arising from their short and long lerm use. Single system designated case studies, will be used to demonstrate how treatment with EMDR allows one to arrive at successful outcomes in trauma spectrum disorders, with or without psychopharmacology.

Keywords: SSRIs  

Accuracy Verified: Yes

160. Paunovic, N. (2002, April). Prolonged exposure counterconditioning (PEC) as a treatment for chronic post-traumatic stress disorder and major depression in an adult survivor of repeated child sexual and physical abuse. Clinical Case Studies, 1(2), 148-169. doi:10.1177/1534650102001002004.

Language: English

Format: Journal

Abstract:
Prolonged exposure counterconditioning (PEC) was tested as a treatment for chronic post-traumatic stress disorder (PTSD) in an adult survivor of repeated child sexual and physical abuse. PEC utilizes imaginal reliving of very pleasurable life moments in order to weaken traumatic conditioned emotional responses (CERs). A higher-order conditioned stimuli (CS) is used as a traumatic CER elicitor. Prolonged imaginal reliving of pleasurable CSs is used as a counterconditioner to the traumatic CERs. A statistical technique for analyzing single-case subject designs based on classical test theory was used to evaluate the client’s progress in treatment. Results showed that PEC effectively decreased the client’s PTSD symptoms, depression, and anxiety. In addition, the client’s negative cognitions became considerably more positive. Also, the client lost his comorbid conditions of chronic major depressive disorder and social phobia. Finally, other clinically observed symptoms, which are described in the article, improved markedly. All results were maintained at a 3-month follow-up.

Keywords: Imaginal Reliving  PEC  Posttraumatic Stress Disorder  Prolonged Exposure Counterconditioning  PTSD  

Accuracy Verified: Yes

161. Dyck, M. J. (1993, September). A proposal for a conditioning model of eye movement desensitization treatment for posttraumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 24(3), 201-210. DOI:10.1016/0005-7916(93)90022-O.

Language: English

Format: Journal

Abstract:
Although eye movement desensitization (EMD) was introduced as a specific treatment for traumatic memories, a satisfactory explanation of the therapeutic mechanism underlying the method has not been offered. This article describes a model of traumatic memories and EMD based primarily on principles of respondent conditioning, emotional interference with learning, and operant conditioning. A method for evaluating the conditioning model is briefly described. [Author Summary]

Keywords: Conditioned Emotional Responses  Posttraumatic Stress Disorder  PTSD  Review  

Accuracy Verified: Yes

162. van Loey, N. E. E., & van Son, M. J. M. (2003). Psychopathology and psychological problems in patients with burn scars:  Epidemiology and management. American Journal of Clinical Dermatology, 4(4), 245-272.

Language: English

Format: Journal

Abstract:
Burn injury is often a devastating event with long-term physical and psychosocial effects. Burn scars after deep dermal injury are cosmetically disfiguring and force the scarred person to deal with an alteration in body appearance. In addition, the traumatic nature of the burn accident and the painful treatment may induce psychopathological responses. Depression and PTSD, which are prevalent in 13-23% and 13-45% of cases, respectively, have been the most common areas of research in burn patients. Risk factors related to depression are pre-burn depression and female gender in combination with facial disfigurement. Risk factors related to PTSD are pre-burn depression, type and severity of baseline symptoms, anxiety related to pain, and visibility of burn injury. Neuropsychological problems are also described, mostly associated with electrical injuries. Social problems include difficulties in sexual life and social interactions. Quality of life initially seems to be lower in burn patients compared with the general population. Problems in the mental area are more troublesome than physical problems. Over a period of many years, quality of life was reported to be rather good. Mediating variables such as low social support, emotion and avoidant coping styles, and personality traits such as neuroticism and low extraversion, negatively affect adjustment after burn injury. Few studies of psychological treatments in burn patients are available. From general trauma literature, it is concluded that cognitive (behavioral) and pharmacological (selective serotonin reuptake inhibitors) interventions have a positive effect on depression. With respect to PTSD, exposure therapy and eye movement reprocessing and desensitization [EMDR] are successful. Psychological debriefing aiming to prevent chronic post-trauma reactions has not, thus far, shown a positive effect in burn patients. Treatment of problems in the social area includes cognitive-behavioral therapy, social skills training, and community interventions. Sexual health promotion and counseling may decrease problems in sexual life. In conclusion, psychopathology and psychological problems are identified in a significant minority of burn patients. Symptoms of mood and anxiety disorders (of which PTSD is one) should be the subject of screening in the post-burn phase and treated if indicated. A profile of the patient at risk, based on pre-injury factors such as pre-morbid psychiatric disorder and personality characteristics, peri-traumatic factors and post-burn factors, is presented. Finally, objective characteristics of disfigurement appear to play a minor role, although other factors, such as proneness to shame, body image problems, and lack of self-esteem, may be of significance. [Author Abstract]

Keywords: Burns  Comorbidity  Epidemiology  Literature Review  Posttraumatic Stress Disorder  Predisposition  PTSD  Survivors  Treatment  

Accuracy Verified: Yes

163. Schellong, J. (2010, June). Psychophysiological responsivity to trauma and internal resources in patients with PTSD and healthy subjects. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
This study aims to measure psychophysiological parameters during activation of internal resources k g . positive memories) and to compare these to activated traumatic internal networks. Antecedent studies show that traumatic stimulation on patients with posttraumatic stress disorder (PTSD) finalizes in various psychophysiological correlates. During therapy of these patients a strong demand for activation of internal resources, i.e. activation of fortitude and positives thoughts, exists. Especially EMDR therapy uses resource stimulating elements such as position of power and absorption in preparation for exposure. In this study standardized EMDR protocols establish a solid basis to explore individual internal resources. Researches on trauma stimuli in EMDR- patients show effects on parasympathetic tonus (Sack 2006) as well as increased cerebral blood flow in defined brain regions (Levin 1999. Lamprecht 2000). Especially the heart rate variability (HRV) may describe the sympatheticovagal balance (Cohen, 2002, Porges 1991). This study focuses on psychophysiological effects and neurobiological regulative mechanisms of stabilizing methods and activation of internal resources in PTSD patients and healthy control group. Methods: Healthy subjects and patients with diagnosed PTSD (DIAX) listened to a commonly neutral script, an individual trauma script and an individual absorption script. Following each script measurements of heart rate variability (HRV), respiratory flow, skin conductance responses (SCR) and skin blood flow (LCF, TU50%) took place. Results: Preliminary results revealed a significant reduced heart rate variability in patients compared to the healthy controls in reaction to the stress script as well as to the positive and the neutral scripts. Conclusion: To our knowledge this is the first time to be proven that altered autonomous functions are found in PTSD not only in reaction to traumatic reminders, but even to a positive, resource activation situation. This provides our basement for further research. Detailed analysis of different effects to each script on both groups are currently underway.

Keywords: Posttraumatic Stress Disorder  PTSD  Research  Responsivity  Symposium  Trauma  

Accuracy Verified: Yes

164. Peñalba, V., McGuire, H., & Leite, J. R. (2009). Psychosocial interventions for prevention of psychological disorders in law enforcement officers. Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD005601. doi:10.1002/14651858.CD005601.pub2.

Language: English

Format: Other

Abstract:
Background: Psychosocial interventions are widely used for the prevention of psychological disorders in law enforcement officers. Objectives: To assess the effectiveness and comparative effectiveness of psychosocial interventions for the prevention of psychological disorders in law enforcement officers. Search strategy: CCDANCTR-References was searched on 12/5/2008, electronic databases were searched, reference lists of review articles and included studies were checked, a specialist journal was handsearched, specialist books were checked and we contacted experts and trialists. Selection criteria: Randomised and quasi randomised controlled trials were eligible. The types of participants were people employed directly in law enforcement, including police officers and military police, regardless of gender, age and country of origin, and whether or not they had experienced some psychological trauma. All types of psychosocial intervention were eligible. The relevant outcome measures were psychological symptoms, adverse events and acceptability of interventions. Data collection and analysis: Datawas entered intoReviewManager 4.2 for analysis, but this reviewwas converted toRevMan 5.0 for publication.Quality assessments were performed. Two authors independently selected studies, extracted data and assessed the quality of studies. Summary effects were to be calculated using RevMan but no meta-analyses were possible. For individual studies, dichotomous outcome data are presented using relative risk, and continuous outcome data are presented using the weighted mean difference. These results are given with their 95% confidence intervals (CI). Main results: Psychosocial interventions for prevention of psychological disorders in law enforcement officers (Review) 1 Copyright © 2009 The Cochrane Collaboration. Published by JohnWiley & Sons, Ltd. Ten studies were included in the review but only five reported data that could be used. Three of the ten studies were related to exercisebased psychological interventions. Seven were related to psychological interventions. No meta-analyses were possible due to diversity of participants, interventions and outcomes. Two studies compared a psychosocial intervention versus another intervention. Three studies compared a psychosocial intervention to a control group. Only one primary prevention trial reported data for the primary outcomes and, although this study found a significant difference in depression in favour of the intervention at endpoint, this difference was no longer evident at 18 months. No studies of primary prevention comparing different interventions and reporting primary outcomes of interest were identified. The methodological quality of the included studies was summarised. No study met our full quality criteria and one was regarded as low-quality. The remainder could not be rated because of incomplete data in the published reports and inadequate responses from the trialists. Authors’ conclusions: There is evidence only from individual small and low quality trials with minimal data suggesting that police officers benefit from psychosocial interventions, in terms of physical symptoms and psychological symptoms such as anxiety, depression, sleep problems, cynicism, anger, PTSD, marital problems and distress. No data on adverse effects were available. Meta-analyses of the available data were not possible. Further well-designed trials of psychosocial interventions are required. Research is needed on organization-based interventions to enhance psychological health among police officers.

Keywords: Law Enforcement, Officers  Review  

Accuracy Verified: Yes

165. Wheeler, K. (2007, July). Psychotherapeutic strategies for healing trauma. Perspectives in Psychiatric Care, 43(3), 132-141. doi:10.1111/j.1744-6163.2007.00122.x.

Language: English

Format: Journal

Abstract:
Purpose: The Adaptive Information Processing Model (AIP), originally developed by Shapiro, provides a model for understanding how trauma affects the brain and how healing occurs. Conclusions: The effects of trauma are thought to be much broader than the diagnosis of PTSD and overlap with many other diagnostic categories. Recent physiological research supports the complexity of neurobiological responses to childhood stress and trauma. Practice Implications: The Treatment Hierarchy, AIP model, and evidence-based treatment framework presented here provide the context and a compass for holistic PMH-APRN practice for working with traumatized patients. [Author Abstract]

Keywords: Adaptive Information Processing    AIP  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Cognitive Therapy  Disorders of Extreme Stress (DESNOS)  Healing Trauma  Nursing  Posttraumatic Stress DIsorder  PTSD  

Accuracy Verified: Yes

166. Boudewyns, P. A. (2005, December). Reaction of therapists to EMDR for combat-related PTSD:  An early look. Augusta VA Medical Center and Medical College of Georgia, Augusta, GA.

Language: English

Format: Publication

Abstract:
Seven therapists, two females and one male, were used for the study. Each therapist was randomly assigned to administer both exposure therapy and EMDR, but one had not yet completed an exposure therapy condition subject. All had been extensively trained in both techniques and all were experienced licensed psychologists with Ph.D. degrees. Each therapist was asked six questions regarding thei r response to the treatments and to the subjects. This is a composite summary of their responses.

Keywords: Combat  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

167. Gomez, A. (2011, August). Repairing the attachment system through the use of EMDR, play and creativity. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
This practical and hands on presentation is designed to provide fresh, creative and effective strategies for clinicians working with insecurely attached children and adolescents. The focus of this presentation is placed on the reprocessing phases of EMDR treatment (4-6), the healing of the attachment system and the use of reparative interweaves. This includes interweaves designed to promote integration at different levels of human experience: Cognitive, emotional, somatic and spiritual. Interweaves directed to complete defensive responses, meet attachment needs, modulate arousal and maintain the social engagement system active will be demonstrated. Several video clips will be presented to provide a very concrete and tangible experience.

Keywords: Attachment  Creativity  Play  

Accuracy Verified: Yes

168. Nathanson, D., & Leeds, A. (1998, July). Reprocessing affect:  A conversation on convergence in EMDR and affect theory. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) gain an understanding of specific ways affect and script theory can help guide the clinical application of EMDR; 2) gain an understanding of how treatment responses to EMDR can deepen our understanding of the human affect system; 3) be challenged to consider ways in which EMDR can be used to help develop research validation for central elements of affect theory; and 4) gain an understanding of how affect theory provides a powerful way of understanding healthy and disturbed patterns in human attachment and how this perspective can guide EMDR treatment strategies in more complex case presentations.

Keywords: Affect Theory  Script Theory  

Accuracy Verified: Yes

169. Sayer, P. C. (2002, August). Responses of individuals with posttraumatic stress disorder to eye movement desensitization and reprocessing or a cognitive-behavioral treatment as mediated by attachment status. Alliant International University, Fresno, CA. AAT 3043018.

Language: English

Format: Dissertation/Thesis

Abstract:
The primary focus of this investigation was to evaluate the responses of individuals diagnosed with PTSD to treatment with Eye Movement Desensitization and Reprocessing (EMDR). In the event that a participant was unable to tolerate the EMDR approach, an alternative cognitive-behavioral treatment approach was offered. It was anticipated that individuals exhibiting Secure Attachment status as revealed on administration of the Bell Object Relations and Reality Testing Inventory (BORRTI) would experience lower scores between pre- and post-intervention administrations of the Symptom Checklist-90-Revised (SCL-90-R). 6 individuals took part in the study; 5 completed the EMDR protocol and one completed an alternative cognitive-behavioral therapy program due to problems tolerating the EMDR treatments. Subjects met with the researcher/therapist from 1 to 12 sessions, participating in the assessment, psychoeducational, and treatment components of the protocol. The application of the BORRTI Insecure Attachment (IA) measure resulted in 5 of the participants receiving a designation Secure Attachment status and 1 person an Insecure Attachment status classification. Thus, comparison groups according to attachment status designation could not be formed. Comparisons of group mean differences between the pre- and post-intervention administrations of the SCL-90-R did not reveal statistically significant differences with regard to the five individuals completing the EMDR protocol. Limitations of the study are discussed, as well as implications for future research on the mediating influences of attachment status on the treatment of PTSD. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(2-B), Aug 2002, pp. 1047.

Keywords: Attachment Behavior  Brief Psychotherapy  Clinical Trial  Empirical Study  Posttraumatic Stress Disorder  PTSD  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

170. Amendolia, R. D., Bressler-Wakesburg, E., & Giles-Monroe, E. (2004, September). The role of culture, ethnicity and spirituality in the treatment of trauma. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
The Narrative Constructivist personal psychology model postulates that traumatized children and adults experience disturbances in cognitive schemata within domains of their psychological and interpersonal functioning: safety, trust, power, esteem and intimacy. Their processing of themselves and the world, which is greatly affected by ethno-cultural and beliefs, becomes rigidified around the "trauma story.” Their responses to stimuli are thus limited to repetitive and intrusive manifestations of fear and withdrawal. Utilizing culturally and spiritually salient metaphors as well as appropriate timing, EMDR facilitates the creation of meaningful narratives about the person's present and future and the world, enhancing sense of self and focused, purposeful behaviors. This symposium will introduce the narrative/cultural context model of trauma, with discussion, film clips and handouts; engage participants in a brief group intervention based on this model, to explore the emotional impact of ethno-cultural issues in regard to trauma and treatment interventions; and present clinical cases treated with EMDR based on cultural-sensitive choice-points and useful metaphors in work with diverse populations.

Keywords: Culture  Ethnicity  Spirituality  Trauma  

Accuracy Verified: Yes

171. Amendolia, R. D., & Gemme, J. (2006, September). The role of culture, ethnicity and spirituality in the treatment of trauma. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The Narrative Constructivist personal psychology model postulates that traumatized children and adults experience disturbances in cognitive schemata within domains of their psychological and interpersonal functioning: safety, trust, power, esteem and intimacy. Their processing of themselves and the world, which is greatly affected by ethno-cultural and spiritual beliefs, becomes rigidified around the "trauma story." Their responses to stimuli are thus limited to repetitive and intrusive manifestations of fear and withdrawal. Utilizing culturally and spilitually salient metaphors, as well appropriate timing, EMDR facilitates the creation of meaningful narratives about the person's present and future and the world, enhancing sense of self and focused, purposeful behaviors. This symposium will introduce the narrative/cultural context model of trauma, with discussion, film clips and handouts; engage participants in a brief group intervention based on this model, to explore the emotional impact of ethno-cultural issues in regard to trauma and treatment interventions; and present clinical cases treated with EMDR based on cultural-sensitive choice-points and useful metaphors in work with diverse populations.

Keywords: Culture  Ethnicity  Spiriturality  

Accuracy Verified: Yes

172. Giovannozzi, G. (2013, June). Safety, regulation, self-regulation and eye contact: New challenges for EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Porges’ polivagal theory of the hierarchical interpretation of the autonomic nervous system (ANS), in addition to extending the range of human beings’ possible responses to environmental demands, links the first line ventral-vagal response with the regulation of important viscera as well as that of facial and head muscles, mediating social interactions, and associates its activation with the feeling of safety, identifying this latter condition as essential for a person’s well-being.
Without safety no social relations, physiological regulation or healing are possible. Hence the importance for EMDR therapists to lead their clients to this condition: lacking the activation of the ventral-vagal circuit there can be no processing. EMDR therapists will be provided with tools to keep their clients in safe conditions within the setting.
Clients exposed to trauma and/or insecure attachment do not have a good ANS regulation and maintain inadequate defensive attitudes – as demonstrated by Porges’ results, easily comparable with Schore’s on affective development and with those of several multi-disciplinary scholars.
Exploring this dysfunction provides EMDR therapists with useful elements to guide their clients in the difficult task of confronting what they did not/could not process at that time. We propose a three-pronged cross-sectional assessment, regardless of the pathology, aimed at identifying the defensive arousal state of the ANS needed to face the dysregulating impact at that time, focusing on the prevalent activation style of the client, when meeting environmental challenges, and that emerging in the session. Starting from this assessment, EMDR therapists will be provided with tools to help clients recognize and master their defenses to increase their flexibility.
Using the regulation as a healing instrument and goal, and given the two-directional psychophysiological approach, where psychological and physiological processes meet, a new intervention model, stemming from the AIP-EMDR approach, is proposed, acting directly on the missing or impaired developmental stages of the self-regulation ability, consistently with what Porges hoped for.
The intervention focuses on Eye Contact (EC), because, as confirmed by several scholars, this is a privileged communication pathway, in particular in the mother-child dyad, to learn self-regulating skills and is easily impaired in psychiatric clients.
Learning objectives: Raise EMDR therapists’ awareness of the importance of safety for their clients, based on Porges’ Polyvagal Theory; Provide therapists with tools to maintain clients’ safety during the session; Help EMDR therapist to recognize and modulate clients’ Autonomic Nervous System activation; and Present an EMDR Protocol to regulate Eye Contact

Keywords: Eye Contact Protocol  Regulation  Safety  

Accuracy Verified: Yes

173. Britt, V. (2005, June). The somatic interweave:  Integrating EMDR and somatic experiencing. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
EMDR practitioners find their sessions include substantial amounts of body processing. While EMDR includes body awareness in the protocol, its potential has not yet been fully explored. Somatic Experiencing (SE), developed by Dr. Peter Levine, offers ways to shift traumatic responses frozen in the nervous system. This workshop will explain and incorporate the principles of SE into EMDR treatment protocols; teach using SE as a "Somatic 1nterweave"when patients are stuck; and demonstrate how to enhance the safe place and RDI protocols with SE. Participants will complete the workshop able to apply basic Somatic Experiencing concepts to their EMDR treatment.

Keywords: Somatic Interweave  

Accuracy Verified: Yes

174. Britt, V., & Napier, N. (2002, June). The somatic interweave: Integrating EMDR and somatic experiencing. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
EMDR practitioners find their sessions include substantial amount of body processing. While EMDR includes body awareness in the protocol, its potential has not yet been fully explored. Somatic Experiencing (SE), developed by Dr. Peter Levine, offers ways to shift traumatic responses frozen in the nervous system. This workshop will explain and incorporate the principles of SE into EMDR treatment protocols; teach using SE as a "somatic interweave" when patients are stuck; and demonstrate how to enhance the safe place and RDI protocols wlth SE. Participants who complete the workshop will be able to apply basic Somatic Experiencing concepts to their EMDR treatment.

Keywords: Peter Levine  Somatic Interweave  Somatic Experiencing  

Accuracy Verified: Yes

175. Shapiro, F. (1992, December). Stray thoughts:  Frozen childhood, Bio-electrical valence. EMDR Network Newsletter, 2(2), 1-2.

Language: English

Format: Newsletter

Abstract:
Clinical observations of EMDR treatment sessions indicate that therapeutic results are often achieved through the progressive emergence of an adult perspective, particularly when the client was previously locked into the emotional responses of a childhoodbased trauma. Clearly, most childhood experiences are infused with a sense of powerlessness, lack of choice, lack of control, and inadequacy. Even the best of childhoods have moments when the parents attempt to leave for the evening and the child feels abandoned, powerless, and uncared for. Indeed, an entire generation of children was raised by a book that dictated feeding hours and parents were encouraged to avoid reinforcing the child's crying for food at other times. Consequently, thousands of children were left crying in the dark for food. Regardless of the fact that language was not yet encoded, arguably, this situation set up certain emotional nodes regarding "Self," "Suffering," and "Others." The EMDR model posits that the wide variety of childhood experiences are neurological touchstones for many dysfunctions.

Keywords: Bio-electrical Valence  Children  Trauma  

Accuracy Verified: Yes

176. Wesselmann, D. (2006, September). Strengthening parent-child attachments with EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Although professionals and parents are often challenged by the provocative behaviors exhibited by children who have a history of pathogenic care and a diagnosis of reactive attachment disorder, children who-have attachment issues related to more subtle problems in parenting may be equally challenging. Negative family patterns related to poor attachments, once established, can create a negative feedback loop that is extremely difficult to change. EMDR offers a method for resolving trauma and loss and changing beliefs, feelings, and responses that may interfere with trust and the development of affectional bonds. Workshop participants will learn to identify significant precursors to attachment problems for EMDR reprocessing with parents and with children. They will learn methods to engage parents to do their own atttachement work and to change their automatic negative responses to their child's behaviors. Participants will learn methods of bilateral stimulation to strengthen feelings of closeness and connection between parents and children prior to EMDR reprocessing, and methods for effectively utilizing parents during EMDR with children in the treatment of attachment problems. Workshop participants will also learn how storytelling can be integrated into treatment as a method to help solidify new cognitions and develop a positive sense of self.

Keywords: Attachment  Storytelling  

Accuracy Verified: Yes

177. Sivan, A. (2008, June). Therapists’ views on the use of EMDR: The case of Hong Kong. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Since the introduction of EMDR training courses in Hong Kong a few years ago, the method has been gaining an enormously growing interest among professionals. One of the indications to the growing interest in EMDR is the high rate of participation in the training courses. While there is a volume of studies on the efficacy of EMDR among different populations, therapists’ viewpoints on its use has not been studied extensively. The purpose of the paper is to examine the views of therapists who have undergone EMDR training in Hong Kong and have used the method in their practice. Data were collected through an open-ended questionnaire and follow-up in depth interviews with a group of therapists. The questionnaire sought information about their initial experience of using EMDR, the types of patients they used it with, the contribution of the method to the therapy and the difficulties they encountered. Follow-up interviews aimed to shed more light on issues raised by the respondents and to provide a platform for their further elaboration. Participants’ responses indicated the positive effects EMDR use on clients and its facilitation of the therapy process. The respondents indicated difficulties in following the exact EDMR protocol especially in relation to the terminology such as: “completely false”, “completely true”, “emotions” and “sensation”. Additional issues raised around the use of the scales and of different bilateral stimulations. On the basis of these finding special consideration should be given to the adaptation of the EMDR protocol to the Chinese language and way of thinking.

Keywords: Hong Kong  

Accuracy Verified: Yes

178. Morris-Smith, J. (2007, November). Transforming change for children and adolescents using eye movement desensitisation and reprocessing (EMDR). Presentation at the CCYP Conference, London, UK.

Language: English

Format: Conference

Abstract:
Crisis occurring at critical stages of development can have a devastating impact on the long term future of children and adolescents. This workshop will look at changes that occur unexpectedly to children and adolescents and how the use of EMDR therapy transforms crises using their own creative and intuitive processes leading to developmentally appropriate adaptive responses and coping strategies. It will be illustrated by the use of case examples and video clips for discussion/debate. The morning workshop is aimed at those who do not have a training in EMDR and are wanting to learn what it can do. The afternoon workshop is aimed at those who have some training in EMDR and troubleshooting its applications. Delegates and are invited to bring their own case material for discussion.

Keywords: Adolescents  Children  

Accuracy Verified: Yes

179. Morris-Smith, J. (2008, February). Transforming change for children and adolescents using eye movement desensitisation and reprocessing (EMDR). Presentation at the CCYP Conference, London, UK.

Language: English

Format: Conference

Abstract:
Crisis occurring at critical stages of development can have a devastating impact on the long term future of children and adolescents. This workshop will look at changes that occur unexpectedly to children and adolescents and how the use of EMDR therapy transforms crises using their own creative and intuitive processes leading to developmentally appropriate adaptive responses and coping strategies. It will be illustrated by the use of case examples and video clips for discussion/debate. The morning workshop is aimed at those who do not have a training in EMDR and are wanting to learn what it can do. The afternoon workshop is aimed at those who have some training in EMDR and troubleshooting its applications. Delegates and are invited to bring their own case material for discussion.

Keywords: Adolescents  Children  

Accuracy Verified: Yes

180. Krystal, D. S., Berbower, S., Katz, I., Pregerson, S., Slyman, S., & Wager, J. (1995, June). Transpersonal psychotherapy panel:  EMDR & transpersonal approaches to psychotherapy. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
1) In the Transpersonal approach to psychotherapy, the existence is acknowledged and the presence is invoked of a higher order of Consciousness, the already healthy and perfect organizing principle that Jung called the Self. After using EMDR to process and integrate the personal history, it is possible to transcend the personal self and its strong beliefs and attitudes, and to rest in a state of no-mind or Self, which is beyond or before the experience of duality, and is often recognized as emptiness, peace, contentment, wisdom and love. It is from this state that the therapist can best use EMDR, fully listening to the Oneness of himself and the client. This listening is often called intuition. In addition to introducing the Transpersonal approach in general, Sheila Krystal will present psychotherapy as Satsang and describe the use of EMDR to facilitate movement from self to Self. She will discuss the state of mind most effective for the therapist to enter while using EMDR and will lead a meditation to help create this no-mind state. 2) Joan Wager will present the basic premises of body-based psychology within a Transpersonal content and its relationship to EMDR, illustrating through discussion and case presentation how embodied consciousness, wisdom, compassion, concern for all sentient beings, is the path of body-based transpersonal psychology. She will show how, as we broaden., our concept of who we are, and as body, emotions and mind become integrated, we experience transformation of our being with a new sense of Self in relation to others and the universe. 3) Suzanne Slyman will demonstrate, through theoretical discussion and case presentations, how she combines Gestalt, Self- Acceptance-Training, Transpersonal approaches to psychotherapy, and EMDR She will emphasize several interesting commonalties in these approaches to psychotherapy, including the following; each relies on the belief that there is, in every individual, an inner organizing principle that moves towards wholeness, each assumes that we are self-regulating organisms, each understands and values the power of being witness to the present moment, and each makes room for the client to discover a heretofore "unimaginable outcome" to his or her work. The Enneagram is an ancient psychological typology that describes nine personality types and their interrelationships. Each type is defined by a chief mental and emotional preoccupation to which attention habitually returns. The types correlate well with the diagnostic categories of current psychological practice, but can open us to the fact that the repeating preoccupation of heart and mind that we in the West tend to dismiss as merely neurotic can also be used as potential access points to higher states of consciousness. 5) During their presentation, Sharon Berbower and Suzanne Pregerson will explore their use of the Enneagram and EMDR especially examining how EMDR can access the core personality strategies and defense mechanisms of each of the nine types. With the deconstruction of the habitual responses of the personality, the possibility exists for the emergence of 'True Self. EMDR may be a key to the profound transformation of personality types. 6) Irv Katz will then make a concluding presentation including tying the earlier presentations together and facilitating a question and answer period between the audience and the panel members.

Keywords: Guided Imagery  Hypnosis  Panel  Transpersonal  Transpersonal Psychotherapy  

Accuracy Verified: Yes

181. van der Kolk, B. A. (2000, September). Trauma, attachment and the body. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Partcipants will: 1) be able to describe current research findings about post-traumatic responses at different developmental levels, and in various domains, and explore in depth the treatment implications of these findings; 2) be able to identify how traumatized people process information; and 3) learn how sensorimotor processing can alleviate traumatic re-experiencing.

Keywords: Attachment  Body  Sensorimotor Processing  Trauma  Traumatic Re-experiencing  

Accuracy Verified: Yes

182. Fisher, J. (2012, June). Trauma, body and neurobiology EMDR and sensorimotor psychotherapy in treatment of dissociative disorders [Trauma, neurobiología y el cuerpo: EMDR y la psicoterapia sensoriomotriz en el tratamiento de los trastornos disociativos]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Although most patients respond well to EMDR treatment, those with dissociative disorders often become more fragmented: they experience flooding of memory, or they become disconnected and numb. Faced with the dissociative patient who cannot tolerate emotions, who cannot manage self-­‐destructive impulses, differentiate past and present, or create a Safe Place—is there any way that EMDR can be helpful? The answer is, “Yes.” With an understanding of post-­‐traumatic neurobiology and the Structural Dissociation model, the responses of dissociative disorder patients to EMDR become logical rather than surprising. If we understand their purpose and meaning, we can better address the responses that interfere with successful EMDR processing. Then if we use simple body-­‐centered interventions drawn from Sensorimotor Psychotherapy that modulate autonomic arousal and address the needs and fears of each part of the personality, EMDR treatments can help even our most de-­‐stabilized and dissociative clients. This workshop will introduce a neurobiological model for understanding how and when EMDR treatments can be effective even with dysregulated and dissociative clients and offer an introduction to Sensorimotor Psychotherapy, a body-­‐centered therapy developed specifically to treat post-­‐traumatic symptoms. Participants will be taught simple, body-­‐centered interventions that can be woven into both trauma processing and Resource Development protocols. Using lecture, videotape, session demonstration and actual practice, participants will have an opportunity to integrate these simple but effective techniques into their EMDR practice.

Si bien la mayoría de los pacientes responden bien al tratamiento con EMDR, con frecuencia aquellos que sufren trastornos disociativos se vuelven más fragmentados: sienten una inundación de la memoria o se vuelven desconectados y “anestesiados”. Ante el paciente disociativo que no es capaz de tolerar las emociones, que no puede gestionar los impulsos auto-­‐destructivos, distinguir entre pasado y presente o crear un Lugar Seguro, ¿existe alguna manera en la cual puede resultar útil EMDR? La respuesta es, “Sí.” Con una comprensión de la neurobiología post traumática y del modelo de disociación estructural, las respuestas de los pacientes con trastorno disociativo a EMDR se vuelven lógicas en lugar de sorprendentes. Si entendemos su propósito y significado, estaremos mejor situados para abordar las respuestas que interfieren con el éxito del procesamiento con EMDR. De ahí, si aplicamos intervenciones sencillas centradas en el cuerpo derivadas de la psicoterapia sensoriomotriz que modulan la excitación autonómica y abordan las necesidades y miedos de cada parte de la personalidad, los tratamientos con EMDR pueden ayudar a nuestros clientes, incluso a los más desestabilizados y disociativos. Este taller introducirá un modelo neurobiológico para comprender el cómo y cuándo los tratamientos basados en EMDR pueden resultar efectivos aún en los clientes desregulados y disociativos y ofrece una introducción a la psicoterapia sensoriomotriz, una terapia que se centra en el cuerpo desarrollada específicamente para tratar los síntomas post-­‐traumáticos. Se les enseñará a los participantes intervenciones sencillas y centradas en el cuerpo que pueden entretejerse en los protocolos tanto de procesamiento del trauma como de desarrollo de recursos. Mediante la conferencia, vídeos, demostraciones de sesiones y prácticas reales, los participantes tendrán la oportunidad de integrar estas técnicas sencillas a la vez que efectivas en su ejercicio de EMDR.

Keywords: Dissociative Disorder  Neurobiology  

Accuracy Verified: Yes

183. Gomez, A. (2010, September/October). Treating children with pervasive emotion dysregulation EMDR and adjunctive approaches. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This presentation will provide theoretical and practical step-by-step strategies to assist clinicians working with children with severe dysregulation of the affective system such as: children exhibiting insecure patterns of attachment, complex trauma and dissociation. A broader perspective is presented by integrating concepts from the AIP model, attachment theory, affect regulation theory, and interpersonal neurobiology. An overview of how to incorporate other approaches such as play therapy, ego state therapy, theraplay activities and somatic intervention, while maintaining adherence to the protocol, will be addressed. How to use interweaves that can help complete defensive responses, repair the attachment system and integrate dissociated material will be presented.

Keywords: Children  Adjunctive Approaches  Pervasive Emotion Dysregulation  

Accuracy Verified: Yes

184. Wesselmann, D. (2000, September). Treating core attachment issues in adults and children. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to describe the specific effects of poor quality attachments on emotional and social functioning in children and adults; 2) be able to describe how problem attachments are transmitted generationally; 3) learn to identify core negative cognitions related to specific types of attachment problems; 4) learn to utilize ego state work in order to strengthen the adult self and develop a self-soothing dialogue prior to the reprocessing of emotionally-laden material; 4) learn to utilize EMDR to help parents understand and change their distorted perceptions and ineffective responses with their children; and 6) learn how to coach parents in providing support and attunement in the child's reprocessing as a way of strengthening the attachment bond.

Keywords: Attachment  Ego State Therapy  

Accuracy Verified: Yes

185. Whisman, M. (2005, September). Treating the trauma of panic and understanding panic as an aspect of trauma. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Anxiety, although experienced by everyone, is unique and complex in the Panic Disordered client. Therapists who will be treating these clients need to comprehend the overwhelming experience of panic; its life-altering consequences; underlying causes; and the phobic responses that range from irrrational to bizarre. Panic is a major symptom of post-trauma phenomena; and the experience of panic is traumatizing itself. The end results are remarkably similiar: distortions in attributions (cognitions) and coping mechanisms (behavior), and an intolerance of particular emotional states. The goal of this workshop is to expand the clinician's awareness, sensitivity and skill in treating the many faces of panic and to incorporate bilateral stimulation and adaptive information processing (EMDR) as an integral part of that treatment.

Keywords: Anxiety  Panic: Trauma  

Accuracy Verified: Yes

186. Carbone, D. (2005, July). Treating trauma, depression and anxiety in gay men with childhood trauma histories using EMDR. Presentation at the World Congress of Sexology, Montréal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Mental health research tells us that gay men use psychological services in far more greater numbers than their heterosexual counterparts. Gay men typically present themselves in treatment for problems relating to depression and anxiety, often the result of past and present social stigma. Quite frequently in treatment, it has been noted that these men report frequent childhood experiences of peer and familial ridicule, experienced during formative periods in the development of identity. This ridicule may be conceptualized as a chronic stressor that often results in traumatic responses in adulthood such as substance abuse and self-destructive sexual behavior. This presentation puts forth a treatment model for assisting gay men in overcoming their tramatic responses to childhood ridicule that take the form of self-destructive behaviors in adulthood. Participants will become familiar with the special mental health needs of the gay client and through the presentation of case studies, will become familiar with therapeutic techniques designed to releave the resulting depression and anxiety by employing cognitive restructuring techniques. Participants will come to understand the value of gay affirmative psychotherapy, the need for advocacy outside of the gay community and ancillary treatment options for therapists.

Keywords: Anxiety  Depression  Homosexuality  Sexual Orientation  Sexuality  

Accuracy Verified: Yes

187. Carbone, D. J. (2008). Treatment of gay men for post-traumatic stress disorder resulting from social ostracism and ridicule: Cognitive behavior therapy and eye movement desensitization and reprocessing approaches. Archives of Sexual Behavior, 37(2), 305-316. doi:10.1007/s10508-007-9239-3.

Language: English

Format: Journal

Abstract:
This report describes the clinical treatment of a sample of 4 gay men suffering from PTSD attributed to their repeated experiences with peer ridicule and ostracism throughout childhood and adolescence, caused by their gender variant appearance and behavior. All of the men in the sample shared the following features: (1) a childhood history of ridicule and ostracism from both peers and adults focused on their gender variant presentation designed to elicit gender norm compliance; (2) a lack of social support networks to assist them in coping with the stress; (3) self-destructive coping responses that began in childhood and continued into adulthood in an attempt to lessen the experience of shame; and (4) symptoms of PTSD. A treatment model utilizing cognitive-behavioral therapy and eye movement desensitization and reprocessing was discussed. [Author Abstract]

Keywords: Adults  Americans  Case Report  CBT  Cognitive Behavior Therapy  Cognitive Therapy  Gay Men  Homosexuals  Males  Persecution  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Survivors  

Accuracy Verified: Yes

188. Russo, S. A., Hersen, M., & van Hasselt, V. B. (2001, January). Treatment of reactivated post-traumatic stress disorder: Imaginal exposure in an older adult with multiple traumas. Behavior Modification, 25(1), 94-115. doi:10.1177/0145445501251006.

Language: English

Format: Journal

Abstract:
A single-case analysis was used to assess the effects of imaginal exposure in a 57-year-old woman suffering from current and reactivated post-traumatic stress disorder (PTSD) following a transient ischemic attack. The client’s responses to self-reported depression, anxiety, and PTSD symptoms were repeatedly recorded during four phases: (a) initial psychotherapy, (b) imaginal exposure, (c) skill generalization, and (d) fading of treatment. In addition to dramatic reduction in levels of depression and anxiety, results showed a significant improvement in PTSD symptoms relating to recent and remote traumatic experiences. Improvements were maintained approximately 16 months after imaginal exposure ended, despite ongoing external stressors.

Keywords: Adults  Imaginal Exposure  Posttraumatic Stress Disorder  PTSD  Trauma  

Accuracy Verified: Yes

189. Cohena, J. A.,  Mannarino, A. P., & Rogal, S. (2001, January). Treatment practices for childhood posttraumatic stress disorder. Child Abuse and Neglect, 25(1), 123-135. doi:10.1016/S0145-2134(00)00226-X.

Language: English

Format: Journal

Abstract:
Objective: This study surveyed practices in treating childhood PTSD among child psychiatrists and non-M.D. therapists with self-identified interest in treating traumatized children. Method: An anonymous survey was mailed to 207 child psychiatrists ("medical") [members of the American Academy of Child and Adolescent Psychiatry] and 460 nonphysician ("non-medical") therapists [members of the International Society for Traumatic Stress Studies] inquiring about current interventions used to treat children with PTSD. Results: 247 responses were received: of 77 medical and 82 nonmedical respondents who currently treat children with PTSD, a wide variety of modalities are used. Most preferred modalities among medical responders were pharmacotherapy, psychodynamic, and cognitive-behavioral therapy. Most preferred modalities among nonmedical respondents were cognitive-behavioral, family, and nondirective play therapy. 95% of medical respondents used pharmacotherapy for this disorder; most preferred medications to treat childhood PTSD were selective serotonin reuptake inhibitors and alpha-adrenergic agonists. Several significant differences between medical and nonmedical practices were identified. Conclusions: There is little clinical consensus regarding the effectiveness of the many modalities used to treat traumatized children who have PTSD symptoms; empirical research is particularly needed to evaluate the efficacy of pharmacotherapy and EMDR. [Author Abstract]

Keywords: Adolescents  Arousal  Avoidance  Children  Drug Therapy  Mental Health Personnel  Reexperiencing  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes

190. Toon, K. (2009, October). Troubleshooting. Presentation at the 2nd annual EMDR Autumn Workshop, Leeds, UK.

Language: English

Format: Conference

Abstract:
This workshop is aimed at all EMDR clinicians who sometimes struggle with the standard protocol. It highlights some of the common difficulties encountered when using EMDR, and offers practical solutions based on the theoretical background. We will consider responses to questions frequently asked in supervision including: Why is processing so slow with this client? Why has it stopped? How do we speed it up again? Why does processing result in my client being overwhelmed? How can we slow it down again? What if the client doesn't have a negative thought?

Keywords: Standard Protocol  Troubleshooting  

Accuracy Verified: Yes

191. Snyker, E. (2000, September). Understanding and controlling post EMDR individual session negative responses. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to identify the range of reactions post an individual EMDR session, as well as predict how long (hours, days) the reaction may last; 2) be able to identify the emergence of negative reactions to an individual session; 3) have a basic understanding of the mechanism of action underlying positive/negative reactions; and 4) be able to develop strategies for incomplete sessions for those clients who repeatedly have negative reactions and for whom traditonal closings (safe place, RI., relax) do not work.

Keywords: Incomplete Sessions  Negative Reactions  

Accuracy Verified: Yes

192. Bilal, M. S., & Rana, M. H. (2008, June). Use of eye movement desensitization and reprocessing (EMDR) in battle hardy soldiers after sustaining psychological trauma in various suicide bomb blast: A series of cases of post traumatic stress in terrorist acts. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Objective: The purpose of the study is to show the impact of the use of EMDR in survivors of suicide bomb blasts in North of Pakistan. Design and Settings: The study involves an ongoing compilation of clinical data and the study of therapeutic responses to various interventions including EMDR, at a tertiary mental health facility and Centre for Trauma Research and Psychosocial Interventions (CTRPI), Rawalpindi /Islamabad, Pakistan. This mental health facility is the catchment area of patients from Northern areas of Pakistan, currently the part of the country, worst affected by series of suicide bombings targeting military and civil population. Method: Families of the victims and those who survive suicide bombings without physical injuries are referred to CTRPI from peripheral areas / hospitals for assessment for psychosocial consequences of facing a man made disaster. Patients are interviewed at the point in time of referral and scoring is done on Impact of Event Scale (IES). Those who fulfill the criteria of Post traumatic Stress Disorder according to ICD-10 are registered for further studies and appropriate interventions. The individuals who fulfil the criteria for PTSD or any other psychiatric morbidity are then enrolled for regular psychiatric follow up. The patients are first offered the use of EMDR and all who give an informed consent are then assigned to a psychiatrist trained in EMDR (Level 2). Sessions of EMDR as per the protocol of 8 stages are carried out. Scoring on IES is recorded serially. According to the degree of improvement and severity of illness, sessions of EMDR are carried out using the bilateral stimulation during the hospital stay. Results: The three individuals who have completed EMDR treatment had survived the suicidal bombing attacks and fulfilled the entry criteria were administered 8 stage protocol EMDR. They all improved in their symptoms of intrusive images, hyper-arousal, autonomic instability and avoidance. Their sleep improved and nightmares diminished. Their social and interpersonal functioning improved. There was marked reduction of basal anxiety levels in all three. Scores on IES done after intervention (EMDR) improved from initial pre EMDR score of 41, 38 and 40 respectively to post EMDR scores of 18, 15 and 14 for the three subjects who completed EMDR protocol of 8 stages. On reporting to their respective units their occupational effectiveness has returned to previous levels of functioning. Conclusions: EMDR proves to be an effective non pharmacological intervention in terms of post traumatic stress disorder in special circumstances of acts of terrorism involving suicide bombing. The data presented is only preliminary and is based on a small number out of a larger sample.

Keywords: Military  Posttraumatic Stress Disorder  PTSD  Terrorism  

Accuracy Verified: Yes

193. Tahir, K., Tareen, S., & Keenan, P. (2008, June). Use of eye movement desensitization and reprocessing (EMDR) in earthquake affected women: A series of cases of post traumatic stress in physically injured persons. Poster presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Objective Main objective is to study the therapeutic responses of EMDR on the survivors of earthquake North of Pakistan in Kashmir. This study is carried on the spinal injury patients of National Institute Rehabilitation Medicine (NIRM), which is a 160 bed hospital in Islamabad. It has a spinal injury unit which established after the earthquake in February 2006. All the female patients suffering from spinal injury earthquake were shifted here. Physically injured patients who also fulfilled the criteria of PTSD according ICD10 were offered the treatment with EMDR. Patients who consented were seen by EMDR practitioner(level 2). Sessions of EMDR as per protocol of 8 stages were carried out. The number of sessions varied according severity of illness and degree of improvement. EMDR practitioner was supervised by EMDR consultants through email and telephony. It is a part of ongoing EMDR training programme. Paper also discusses the problems while seeing patients and benefits of distance supervision. It also describe case study of 2 patients. Initially 15 patients consented for treatment. However 10 patients completed the sessions and showed improvements their symptoms. Their weeping and sleep problems settled. Their social and interpersonal functioning improved. Marked reduction is seen in level of distress. EMDR has proven to be an effective non pharmacological intervention in terms of PTSD in people suffering from co-morbid physical and psychological conditions earthquake. Data presented is only preliminary and based on a small number out of a large segment.

Keywords: Earthquake  Poster  Posttraumatic Stress  Reprocessing  

Accuracy Verified: Yes

194. Wesselmann, D. (2013, April). Using EMDR to treat attachment trauma in adults and children. Preconference presentation at the Congress EMDR Vereniging EMDR Nederland, Nijmegen, the Netherlands.

Language: English

Format: Conference

Abstract:
Trauma experienced within the earliest attachment relationships leave children and adults at great risk for the development of psychiatric disorders. Maltreatment by attachment figures and traumatic losses are both closely associated with attachment disorganization, the attachment category identified in 70% of patients in psychiatric hospitals. Research shows insecure and disorganized attachments to be transmitted transgenerationally at a rate of between 70 and 80%.Adults and children with disturbed attachments frequently experience severe emotional dysregulation along with intense feelings of despair, anxiety, shame, and mistrust of others. Affected children and adults frequently lack helpful or adaptive information or insights and exhibit behaviors that elicit negative responses from those around them. Due to heavy defenses and poor self-regulation and self-awareness, patients suffering from attachment trauma are traditionally difficult to treat. However, with proper adaptations, the EMDR approach becomes a powerful method for healing attachment injuries in adults, children, and parent-child dyads. Participants will learn creative methods of adapting EMDR for the special challenges that accompany attachment injury. Participants will learn to utilize attachment resource development techniques designed to strengthen the capacity for closeness, trust, and self-compassion. They will discover how to coach an attachment figure to provide emotional regulation and help with cognitive interweaves. Participants will be able to write a therapeutic story to help process pre-verbal trauma and develop adaptive information for successful reprocessing. Creative interweaves, contained reprocessing, and methods for weaving together of past, present, and future will help participants experience successful EMDR with their most challenging cases. Case studies, video, and EMDR/attachment research will be presented.

Keywords: Adults  Children  Trauma Attachment  

Accuracy Verified: Yes

195. Carbone, D. (2004, September). Using EMDR to treat trauma as a result of childhood ridicule in gay men. Presentation at the annual meeting of the EMDR International Association, Montréal, Quebec Canada.

Language: English

Format: Conference

Abstract:
This training will enable participants to identify trauma responses in sexual minority clients (Gay, Lesbian, Bisexual, Transgender) and the developmental origins of these responses. The trauma addressed is a result of a long-term pattern of childhood social ridicule. Participants will learn how to screen for certain psychological disorders that are more common in this population and situations whereby supplemental therapies are needed. The effectiveness of EMDR in reprocessing the trauma will be demonstrated through a presentation of 6 cases. Participants will become familiar with the importance of gay affirmative psychotherapy and referral sources.

Keywords: Gay Men  Homosexuals  Ridicule  

Accuracy Verified: Yes

196. Accaria, P. L. (2009, March 10). The utilization of muscle testing as an ideomotor signal: How to bypass dissociation, ratify EMDR protocols and assess covert ego states. Presentation at the 51st American Society of Clinical Hypnosis Annual Scientific Meeting, Boston, MA.

Language: English

Format: Conference

Abstract:
The Eve Movement Desensitization and Reprocessing procedure requires the development of a protocol comprised of the patient’s inner experiences in the forms of images, emotions, sensations, cognitions and Likert scale type ratings. Some individuals are dissociated from their inner experiences to a degree which makes it difficult for them to soundly identify and consciously report these inner experiences. Applied Kinesiology muscle testing responses, which are conceptualized as ideomotor signals, are utilized to assess and ratify data used in developing EMDR protocols. Muscle tests are also effective for deciphering covert ego states and assessing their unique responses. Demonstrations and experiential practice in dyads. Upon completing this workshop, the participant should be able to: 1. Use muscle testing as an ideomotor signal; 2. Use muscle testing to develop and ratify EMDR protocols; and 3. Use muscle testing to assess and access covert ego states.

Keywords: Dissociation  Ego States  Muscle Testing  

Accuracy Verified: Yes

197. Lilley, S. A., Andrade, J., Turpin, G., Sabin-Farrell, R., & Holmes, E. A. (2009, September). Visuospatial working memory interference with recollections of trauma. British Journal of Clinical Psychology, 48(3), 309–321. doi:10.1348/014466508X398943.

Language: English

Format: Journal

Abstract:
Objectives: Laboratory research using a working memory framework has shown modality-specific reductions in image vividness and emotionality when concurrent tasks are performed while maintaining the image in consciousness. We extended this research to trauma images in a clinical population awaiting treatment for post-traumatic stress symptoms. Design: A within-subjects design was used, with each participant completing an imagery task under three concurrent task conditions: side-to-side eye-movements, counting, and exposure only (no concurrent task). Methods: Eighteen participants selected three images each, the images being those that were the most distressing from participants’ trauma memories and most likely to intrude involuntarily. Participants gave baseline ratings of the vividness and emotionality of each of their trauma images. Each image was assigned to a condition. Each condition comprised 8 trials in which participants recollected the appropriate image for 8 s while performing eye-movements, counting or no concurrent task, and then rated its vividness and emotionality. Follow-up ratings were obtained by telephone 1 week later. Results: The eye-movement task reduced vividness and emotionality of the trauma images relative to the counting task and exposure only, but did so only during the imagery period and not at follow-up. The images were predominantly visual. Conclusions: Concurrent tasks matched to the modality of trauma images may provide a useful treatment aid for temporarily dampening emotional responses to recollections of trauma.

Keywords: Trauma  Memory  Visuospatial Working Memory Interference  

Accuracy Verified: Yes

198. Bender, S. S. (2009). When words and pictures fail: An introduction to adaptive information processing. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 49-56). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
As part of my discussion with my patients about their mind and the adaptive information processing (AIP) system, I find that patients are sometimes unable to find responses when asked about a picture representing the worst part of the event or what negative belief remains with them as a result of a life experience. It is my opinion that it is advantageous for the clinician to attempt to get all the pieces to the protocol and I recommend the scripts provides in this chapter as possible ways to do so. Use the scripts either during Phase 1 (history taking) or Phase 2 (preparation). The When Words and Pictures Fail Script is provided, and a case example is use to illustrate how to address unrecalled or missing assessment ingredients. [PsycINFO Database]

Keywords: Adaptive Information Processing System  History Taking  Life Experience  Negative Beliefs  Preparation  Trauma  

Accuracy Verified: Yes

199. Sack, M. (2008, September). Wirkmechanismen von EMDR [Work mechanisms in EMDR]. Pre-Congress presentation at the 11th Congress of the European Society of Hypnosis in Psychotherapy and Psychosomatic Medicine, Vienna, Austria.

Language: German

Format: Conference

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) ist ein expositionsbasiertes Verfahren zur Behandlung von Patienten mit posttraumatischen Belastungsstörungen (PTSD). Während die Wirksamkeit der EMDR-Behandlung empirisch gut nachgewiesen ist, besteht nach wie vor Unklarheit, ob die beim EMDR eingesetzte bilaterale Stimulation durch Augenbewegungen einen spezifischen Effekt hat. Wir stellen Ergebnisse aus mehreren Studien zum Monitoring autonom-vegetativer Parameter während Traumatherapiesitzungen mit EMDR vor. Es lässt sich unmittelbar nach Beginn der Augenbewegungen ein starker Anstieg des Parasympathikotonus und ein Abfall der Herzfrequenz beobachten. Diese
Reaktion erstreckt sich über etwa 10 Sekunden und entspricht damit dem Verlaufsmuster einer so genannten Orientierungsreaktion auf einen neuen Stimulus. Im Sitzungsverlauf zeigt sich, dass die Herzfrequenz abfällt und der Parasympathikotonus ansteigt. Damit liefern unsere Befunde eine empirische Bestätigung für die Hypothese, dass es während EMDR-Sitzungen zu Orientierungsreaktionen kommt. Nach unserer Einschätzung werden durch die bilaterale Stimulation biologische Ressourcen aktiviert, die eine Verarbeitung traumatischer Erinnerungen begünstigen.

EMDR (Eye Movement Desensitization and Reprocessing) is an exposure based method for the treatment of patients with post-traumatic stress disorder (PTSD). While the effectiveness of EMDR treatment is well established empirically, there is still uncertainty whether the bilateral stimulation used in EMDR by eye movements has a specific effect. We present results of several studies on vegetative-autonomous monitoring parameters before, during trauma therapy sessions with EMDR. It can be observed immediately after the start of eye movement, a sharp increase parasympathetic tone and a decrease in heart rate. This reaction extends over about 10 seconds and corresponds to the pattern during a so-called orientation reaction to a new stimulus. During the session shows that decreases the heart rate and increases the parasympathetic tone. Thus our findings provide empirical confirmation for the hypothesis that during EMDR sessions is to guide responses. In our view be activated by bilateral stimulation of biological resources, encourage the processing of traumatic memories.

Keywords: Bilateral Stimulation  BLS  Mechanisms  Vegetative-Autonomous Monitoring Parameters  

Accuracy Verified: Yes

200. Fine, C., & Berkowitz, A. (2001, January-April). The wreathing protocol: The imbrication of hypnosis and EMDR in the treatment of dissociative identity disorder and other dissociative responses. American Journal of Clinical Hypnosis, 43(3-4), 275-290.

Language: English

Format: Journal

Abstract:
Dissociative Identity Disorder (DID), a chronic childhood onset posttraumatic stress disorder, is currently recognized as a treatable condition. It is considered the paradigmatic dissociative condition and carries with it extreme posttraumatic symptomatology. Therapists skilled in the treatment of DID are typically fluent in the uses of hypnosis for stabilization, affect management, building a safe place, and grounding to name of few [sic]. EMDR, which has come to the forefront of clinical awareness in the last ten years, seems aptly suited for the treatment of trauma, but can be destabilizing. This paper proposes a protocol, called Wreathing Protocol, for the imbricated use of EMDR and hypnosis in the treatment of not only DID (though this will be the primary focus of the paper), but also Dissociative Disorder Not Otherwise Specified (DDNOS) and chronic PTSD. This protocol is useful to advanced clinicians skilled in both modalities independently. The sequential steps of the Wreathing Protocol will be described and illustrated by a clinical vignette on DID. The clinical implications of the use of the Wreathing Protocol will be discussed in DID as well as the chronic post traumatic spectrum. [Author Abstract]

Keywords: Dissociative Identity Disorder  Hypnotherapy  PTSD  Psychotherapeutic Processes  Review  

Accuracy Verified: Yes